The study hypothesis is that prophylactic fibrinogen infusion reduces postoperative bleeding and transfusion requirements after coronary artery bypass surgery (CABG) in patients with endogenous fibrinogen levels in the lower normal range. 60 patients will be included in a prospective, randomized double-blind placebo-controlled single center study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
52
Fibrinogen 2 gr in 100 ml sterile water. The infusion is given during 15 minutes
Cardiothoracic Surgery unit, Sahlgrenska University Hospital
Gothenburg, Gothenburg, Sweden
To evaluate safety of prophylactic fibrinogen infusion in patients with fibrinogen levels in the lower normal range undergoing cardiac surgery
Time frame: 2 years
Blood loss first 12 postoperative hours
Time frame: 12h
Transfusions
Time frame: 7 days
Biomarkers of coagulation, fibrinolysis and platelet function
Time frame: 7 days
Pharmcoeconomic analysis
Time frame: 2 years
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