Abstract
To the Editor: We read with interest the publication of Djaiani et al addressing the effect of cardiotomy blood processing with a continuous-flow cell saver on the incidence of postoperative cognitive deficits (POCD) in the elderly undergoing coronary artery bypass grafting.1 The authors were able to demonstrate a significant decrease in the incidence of POCD with this intervention. We have recently published our larger double-blind randomized clinical trial (266 patients) examining this same question.2 We committed a priori to a commonly used definition of what constitutes POCD, and we were not able to demonstrate a benefit either early postoperatively or …
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