Fluid Management and Transfusions
There were no differences in intraoperative crystalloid or 5% albumin
administration. Intraoperative blood product transfusion was also equal
between groups. Overall, 62% of patients received intraoperative red
blood cell (RBC) transfusion with an average volume of 15 mL/kg. Only
one patient, who was in the EACA group, received intraoperative fresh
frozen plasma (FFP) and platelet transfusions. Cryoprecipitate was given
to 13% of all patients intraoperatively. There was a higher percentage
of patients receiving cryoprecipitate in the EACA group, but this was
not statistically significant. Postoperatively, 23% percent of patients
received RBC transfusion, with an average volume of 3 mL/kg. One patient
in each group received postoperative FFP, which was given for elevated
INR without clinical symptoms. Only one patient received postoperative
cryoprecipitate, which was given for hypofibrinogenemia without evidence
of bleeding. No patients received postoperative platelet transfusion.
Overall there was no difference in transfusion of blood products between
groups (Table 3).