Age 18–85 y |
Age < 18 y or > 85 y |
American Society of Anesthesia ASA classes 2, 3, 4 |
Patients with overt congestive heart failure (CHF) |
Elective or semi-elective cardiac surgery, coronary
artery bypass graft (CABG), cardiac valve repair or
replacement via median sternotomy, and cardiopulmonary
bypass |
Emergency cases, for example, aortic dissection Patients
on mechanical cardiac support [extracorporeal membrane
oxygenator (ECMO) and/or intra-aortic balloon pump
(IABP) |
|
Patients with mobility problems |
|
Patients who lack support at home |
|
History of stroke or endocarditis |
|
Preoperative hemoglobin (Hb) < 125 g/L |
|
Body mass index (BMI) > 35 |
|
Estimated glomerular filtration rate (eGFR) <
60 mL/min/1.73 m² |
|
Preoperative ejection fraction (EF) < 35% by
echocardiography |
|
Surgery requires deep hypothermic circulatory arrest
(DHCA) |
|
Percutaneous interventions such as transcatheter aortic
valve implantation (TAVI) |
|
Surgery for a heart transplant |
|
Surgery for ventricular assist device insertion |
|
Abnormal liver function tests: albumin < 30 g/L, AST,
ALT > double normal range for both (i.e. > 100
units/L) |
|
Intraoperative variables excluded from the analysis |
|
Aortic cross-clamp (AOX) > 150 min |
|
Cardiopulmonary bypass time (CPB) > 240 min |
|
Inability to close the chest due to (bleeding,
hemodynamic instability) |
|
Postoperative need for IABP |