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Randomized evaluation of fibrinogen vs placebo in complex cardiovascular surgery (REPLACE): a double-blind phase III study of haemostatic therapy  N.

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Presentation on theme: "Randomized evaluation of fibrinogen vs placebo in complex cardiovascular surgery (REPLACE): a double-blind phase III study of haemostatic therapy  N."— Presentation transcript:

1 Randomized evaluation of fibrinogen vs placebo in complex cardiovascular surgery (REPLACE): a double-blind phase III study of haemostatic therapy  N. Rahe-Meyer, J.H. Levy, C.D. Mazer, A. Schramko, A.A. Klein, R. Brat, Y. Okita, Y. Ueda, D.S. Schmidt, R. Ranganath, R. Gill  British Journal of Anaesthesia  Volume 117, Issue 1, Pages (July 2016) DOI: /bja/aew169 Copyright © 2016 The Author(s) Terms and Conditions

2 Fig 1 Patient disposition. CTA, completer of transfusion algorithm (i.e. patients in whom the standardized treatment algorithm was adhered to); FCH, human fibrinogen concentrate; ITT, intention to treat. British Journal of Anaesthesia  , 41-51DOI: ( /bja/aew169) Copyright © 2016 The Author(s) Terms and Conditions

3 Fig 2 First and second bleeding mass (median, interquartile range and range; a) and the timings of these assessments [mean (sd); b]. BM, bleeding mass; CPB, cardiopulmonary bypass; FCH, human fibrinogen concentrate. British Journal of Anaesthesia  , 41-51DOI: ( /bja/aew169) Copyright © 2016 The Author(s) Terms and Conditions

4 Fig 3 Transfusion of allogeneic blood products within 24 h of administering study medication. (a) Median, interquartile range and range. (b) Variability by pooled centre. *Austria, Denmark, Finland, Germany, Italy, and Poland. FCH, human fibrinogen concentrate. British Journal of Anaesthesia  , 41-51DOI: ( /bja/aew169) Copyright © 2016 The Author(s) Terms and Conditions

5 Fig 4 Changes through time in plasma fibrinogen concentration (measured by the Clauss assay; a) and FIBTEM MCF (b). Error bars represent interquartile ranges. CPB, cardiopulmonary bypass; FCH, human fibrinogen concentrate; MCF, maximum clot firmness. British Journal of Anaesthesia  , 41-51DOI: ( /bja/aew169) Copyright © 2016 The Author(s) Terms and Conditions


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