2026 Critical Care Congress Skip to main content
2026 Critical Care Congress Main banner
Final Program


Advance Program
Icon Legend
This session is not in your schedule.
This session is in your schedule. Click again to remove it.
Session Icons
Thought Leader Session
Thought Leader Session
Guidelines Session
Guidelines Session
Aging Adult Track
Aging Adult Track
Additional Registration Fee
Additional Registration Fee

Research Snapshot Theater: Cardiovascular, Adult I

Platelets and the Breath of Life: Impact on Ventilation Duration After Cardiac Surgery

Sunday, March 22, 2026
9:45 AM - 10:45 AM Central Time
Location: Connections Central - RST 02
  • ES

    Eduard R. Shaykhinurov, N/A

    District of Columbia

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • EF

    Evelyn Fox, MSN

    Cardiac Surgery Nurse Navigator
    The George Washington University Hospital

    Disclosure information not submitted.

  • Ryan Garay, BS (he/him/his)

    Virginia

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • sa

    seda akben, N/A (she/her/hers)

    Ankara, TUR

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • HS

    Huma Saleem, n/a

    Study Coordinator
    Department of Anesthesiology and Critical Care Medicine, The George Washington Medical Faculty Associates

    Disclosure information not submitted.

  • VK

    Vicky Kumar, N/A (he/him/his)

    Virginia

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • GD

    Gregory Dawson, MD

    Anesthesiology Resident
    Department of Anesthesiology and Critical Care Medicine, The George Washington Medical Faculty Associates

    Disclosure information not submitted.

  • RA

    Rahil Ashraf, n/a

    Instructor
    George Washington University School of Medicine and Health Sciences

    Disclosure information not submitted.

  • Ayal Pierce, MD

    George Washington University Hospital

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • DK

    Daniel King, MD

    George Washington University Hospital

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • MA

    Mustafa Al-Mashat, MD

    Physician, Critical Care
    Department of Anesthesiology and Critical Care Medicine, The George Washington Medical Faculty Associates

    Disclosure information not submitted.

  • Danielle Davison, MD (she/her/hers)

    George Washington University Hospital, District of Columbia

    Disclosure information not submitted.

  • KH

    Katrina Hawkins, MD

    Physician, Critical Care
    George Washington University Hospital

    Disclosure information not submitted.

  • SL

    Sean Lee, PhD

    Lead Biostatistician
    George Washington University

    Disclosure information not submitted.

  • DY

    David Yamane, MD

    Associate Professor
    George Washington University

    Disclosure information not submitted.

Introduction: Blood product administration in cardiac surgical patients has been implicated in postoperative mortality, morbidity (prolonged ventilation, renal dysfunction, infection) and longer ICU stay. However, intraoperative bleeding often necessitates resuscitation with blood products (packed red blood cells, cryoprecipitate, plasma, and platelets). We sought to evaluate if intraoperative blood transfusion during cardiac surgery was associated with prolonged ventilation in the post operative period.


Methods: We accessed the Society of Thoracic Surgeons Adult Cardiac Surgery Database at our institution (urban academic hospital). Inclusion criteria were adult patients undergoing any open chest cardiac operation. Exclusion criteria were any post operative blood transfusion as we sought to isolate the effect of intraoperative blood transfusion. The logistic model assessed for relatedness of postoperative events (anticoagulation related bleeding, atrial fibrillation, cardiac arrest, gastrointestinal events, prolonged ventilation, pulmonary thromboembolism, renal failure, stroke, and survival at 30 days) to blood product use in the operating room as a function of each blood product.


Results: 503 patients were included in the analysis. 93 patients were transfused intraoperatively (18.5%). There was no association of intraoperative fresh frozen plasma and cryoprecipitate use with postoperative complications. There was no association of packed red blood cell administration intraoperatively and prolonged ventilation. We found a strong positive association between platelet transfusion and prolonged ventilation. The odds of prolonged ventilation increased significantly as the number of platelet units administered post heparin reversal increased (p value = 0.015, CI = 1.07-2.22, odds ratio = 1.54).


Conclusions: Intraoperative platelet administration in cardiac surgery patients was linked to prolonged ventilation. Platelet transfusions are often necessitated by bleeding and platelet lysis during cardiopulmonary bypass. The relationship between intraoperative platelet administration and prolonged mechanical ventilation is influenced by the severity of patient comorbidities, surgery complexity and cardiopulmonary bypass time amongst other factors.