Why Does A Point Of Care Guided Transfusion Algorithm Not Improve Blood Loss and Transfusion Practice in Patients Undergoing High-Risk Cardiac Surgery? A Prospective Randomized Controlled Pilot Study

Accurately classifying the extent of liver disease, preoperative optimization, and surgical risk communication with the patient are crucial. In addition, all teams involved in the surgery should communicate openly and coordinate in order to ensure optimal care. To reduce perioperative complications, consider using off-pump cardiopulmonary bypass techniques and optimal perfusion modalities to mimic current physiologic conditions.