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TableĀ 2 Hemodynamic and tissue oxygenation parameters before and after 500Ā mL of volume expansion according to the response of VO2 in fluid-responder patients

From: Ratios of central venous-to-arterial carbon dioxide content or tension to arteriovenous oxygen content are better markers of global anaerobic metabolism than lactate in septic shock patients

Ā 

VO2 change ā‰„15Ā % (nĀ =Ā 29)

VO2 change <15Ā % (nĀ =Ā 22)

Before volume expansion

After volume expansion

Before volume expansion

After volume expansion

Heart rate (beats/min)

108Ā Ā±Ā 34

102Ā Ā±Ā 26*

110Ā Ā±Ā 27

109Ā Ā±Ā 26

Mean arterial pressure (mmHg)

66Ā Ā±Ā 16

79Ā Ā±Ā 13*

74Ā Ā±Ā 13

85Ā Ā±Ā 10*

Cardiac index (L/min/m2)

2.59 [1.42ā€“3.03]

3.02 [2.09ā€“3.71]*

3.25 [2.49ā€“3.65]#

3.81 [3.48ā€“4.23]#,*

Stroke index (mL/m2)

19.4 [13.1ā€“35.9]

27.0 [22.5ā€“43.8]*

30.8 [21.5ā€“34.1]#

41.0 [31.6ā€“41.4]*

Minute ventilation (L/min)

10.4Ā Ā±Ā 2.0

ā€“

8.5Ā Ā±Ā 1.5#

ā€“

Arterial pH

7.35 [7.32ā€“7.38]

7.36 [7.35ā€“7.37]

7.23 [7.21ā€“7.30]#

7.22 [7.22ā€“7.31]#

Base excess (mmol/L)

ā€“7.21Ā Ā±Ā 4.74

ā€“7.11Ā Ā±Ā 4.21

ā€“8.15Ā Ā±Ā 4.20

ā€“8.25Ā Ā±Ā 3.89

SaO2 (%)

99 [90ā€“100]

98 [94ā€“100]

94 [91ā€“96]#

95 [92ā€“98]#,*

Hemoglobin (g/dL)

10.1Ā Ā±Ā 1.3

9.5Ā Ā±Ā 1.1*

10.7Ā Ā±Ā 1.0

10.1Ā Ā±Ā 0.9#,*

CaO2 (mL)

12.8Ā Ā±Ā 2.0

12.8Ā Ā±Ā 1.7

13.2Ā Ā±Ā 1.4

13.2Ā Ā±Ā 1.2

PaCO2

31Ā Ā±Ā 5

31Ā Ā±Ā 6

43Ā Ā±Ā 8#

42Ā Ā±Ā 7#

CaCO2 (mL)

37.1 [30.0ā€“49.2]

37.2 [28.8ā€“46.4]*

40.5 [35.6ā€“46.9]

37.2 [34.9ā€“42.8]*

Venous pH

7.31 [7.24ā€“7.34]

7.33 [7.27ā€“7.33]

7.22 [7.18ā€“7.24]#

7.21 [7.20ā€“7.27]#,*

ScvO2 (%)

63Ā Ā±Ā 11

63Ā Ā±Ā 10

58Ā Ā±Ā 14

69Ā Ā±Ā 10#,*

CcvO2 (mL)

8.4Ā Ā±Ā 2.0

8.1Ā Ā±Ā 1.6*

8.2Ā Ā±Ā 2.2

9.6Ā Ā±Ā 1.8#,*

PcvCO2 (mmHg)

40Ā Ā±Ā 7

38Ā Ā±Ā 7*

49Ā Ā±Ā 7#

47Ā Ā±Ā 6#,*

CcvCO2 (mL)

43.4 [35.1ā€“53.3]

41.4 [31.8ā€“49.6]*

43.6 [40.2ā€“47.3]

39.9 [37.9ā€“43.3]*

DO2 (mL/min/m2)

297Ā Ā±Ā 86

381Ā Ā±Ā 84*

409Ā Ā±Ā 80#

529Ā Ā±Ā 84#,*

VO2 (mL/min/m2)

95Ā Ā±Ā 27

134Ā Ā±Ā 30*

148Ā Ā±Ā 43#

145Ā Ā±Ā 37

OE

0.34Ā Ā±Ā 0.11

0.37Ā Ā±Ā 0.10*

0.37Ā Ā±Ā 0.15

0.28Ā Ā±Ā 0.09#,*

āˆ†PCO2 (mmHg)

7.0 [6.0ā€“14.0]

6.0 [5.0ā€“12.0]*

4.0 [3.7ā€“9.0]#

3.0 [3.0ā€“6.0]#,*

āˆ†ContO2 (mL)

4.3Ā Ā±Ā 1.6

4.7Ā Ā±Ā 1.4*

5.0Ā Ā±Ā 2.1

3.7Ā Ā±Ā 1.1#,*

āˆ†ContCO2 (mL)

5.2 [3.9ā€“6.3]

3.0 [2.8ā€“4.2]*

1.8 [0.3ā€“4.7]#

1.5 [0.5ā€“3.3]#,*

āˆ†PCO2/āˆ†ContO2 (mmHg/mL)

2.20 [1.70ā€“2.33]

1.66 [1.10ā€“1.96]*

1.05 [1.02ā€“1.14]#

1.13 [0.83ā€“1.35]#

āˆ†ContCO2/āˆ†ContO2

1.22 [1.05ā€“1.26]

0.65 [0.65ā€“0.70]*

0.53 [0.09ā€“0.64]#

0.46 [0.14ā€“0.70]#

Lactate (mmol/L)

5.8 [3.2ā€“7.6]

5.0 [2.8ā€“6.9]*

2.9 [2.1ā€“4.9]#

2.7 [1.4ā€“4.4]#,*

  1. Data are expressed as meanĀ Ā±Ā SD or as median [interquartile range, 25ā€“75]
  2. SaO 2 arterial oxygen saturation, CaO 2 arterial oxygen content, PaCO 2 arterial carbon dioxide tension, ScvO 2 central venous oxygen saturation, CcvO 2 central venous oxygen content, PcvCO 2 central venous carbon dioxide tension, DO 2 oxygen delivery, VO 2 oxygen consumption, āˆ†PCO 2 venousā€“arterial carbon dioxide tension difference, CaCO 2 arterial carbon dioxide content, CcvCO 2 central venous carbon dioxide content, āˆ†ContO 2 arterial-to-central venous oxygen content difference, āˆ†ContCO 2 central venous-to-arterial carbon dioxide content difference, OE oxygen extraction
  3. *Ā pĀ <Ā 0.05 after vs. before volume expansion. #pĀ <Ā 0.05 patients with a VO2Ā <Ā 15Ā % versus patients with a VO2Ā ā‰„Ā 15Ā %