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Table 2 Hemodynamics, respiratory mechanics, blood gases analysis, \(V_{{{\text{CO}}_{2} }}\), VD/VT and microcirculatory parameters at baseline and 24 h after

From: Microcirculatory dysfunction and dead-space ventilation in early ARDS: a hypothesis-generating observational study

 

Baseline

24 h

p

Hemodynamics

 HR, bpm

104 (94–121)

100 (89–115)

0.43

 MAP, mmHg

74 (69–87)

75 (67–92)

0.35

 CVP, mmHg, n

12 (8–14)

12 (7–14)

0.96

 PAOP, mmHg, n

14 (12–16), 22

19 (16–22), 24

0.03

 PAPm, mmHg, n

36 (42–46), 22

30 (26–41), 24

0.13

 PVR, dyn.s/cm5, n

298 (250–440), 22

299 (211–360), 24

0.86

 Cardiac index, (l/min/m2), n

4.2 (3.4–4.5), 22

3.9 (3.5–4.4), 24

0.30

 Norepinephrine, (ugr/kg/min), n

0.10 (0.05–0.27), 18

0.05 (0.03–0.34), 18

0.09

Respiratory mechanics and blood gases

 VT, ml

369 (325–415)

363 (312–404)

0.56

 VT, ml/kg

6.5 (6.1–6.9)

6.6 (6.4–6.9)

0.56

 RR

24 (20–26)

25 (22–27)

0.17

 PEEP

12 (10–15)

12 (10–14)

0.07

 PPeak

30 (27–33)

29 (26–34)

0.57

 Pmaw

19 (14–21)

18 (15–20)

0.36

 VT/CRS

17 (14–19)

16 (14–18)

0.42

 pH

7.28 (7.21–7.32)

7.35 (7.26–7.39)

< 0.001

 PaO2, mmHg

79.1 (69.7–95.5)

86.6 (72.6–109.2)

0.06

 PaCO2, mmHg

46.6 (39.9–56.3)

42.3 (34.6–47.6)

0.003

 HCO3, mmol/L

20.9 (19.1–24.2)

20.7 (17.8–26.5)

0.78

 BE, mmol/L

− 6.4 (− 8.8 to − 2.3)

− 5.9 (− 8.4 to − 0.05)

0.03

 PaO2/FiO2

119 (93–148)

173 (124–222)

< 0.001

 PvO2, mmHg

48.7 (42.3–54.1)

40.8 (36.9–47.6)

0.004

 PvCO2, mmHg

48.2 (41.6–59.3)

44.6 (36.1–53.6)

0.003

 ScvO2,  %

78.0 (70.9–80.9)

75.2 (62.3–81.7)

0.17

Capnography/expired CO2

 \(P_{{{\text{ECO}}_{2} }}\), mmHg (BTPS)

21.2 (18.4–24.6)

19.3 (14.8–21.6)

0.01

 \(F_{{{\text{ECO}}_{2} }}\)

0.034 (0.029–0.039)

0.030 (0.023–0.034)

0.01

 \(V_{{{\text{CO}}_{2} }}\), ml/min (STPD)

320 (250–405)

259 (201–380)

0.28

 VTE, ml

372 (325–415)

302 (240–440)

0.39

 VD/VT

54 (45–61)

51 (47–61)

0.44

Microcirculatory blood flow parameters

 PPV, %

69.6 (57.8–79.2)

75.7 (62.8–81.5)

0.01

 LVP, %

90.9 (82.3–96.5)

90.3 (85.3–96.8)

0.52

 FCD, n vessels/mm2

6.6 (5.1–7.5)

6.9 (5.5–8.2)

0.03

 TCD, n vessels/mm2

11.6 (10.8–12.6)

12.3 (11.0–13.3)

0.08

 MFI

2.35 (2.08–2.50)

2.35 (2.20–2.60)

0.06

 Heterogeneity index

0.38 (0.27–0.65)

0.28 (0.19–0.45)

0.08

  1. HR: heart rate; MAP: mean arterial pressure; CVP: central venous pressure; PAOP: pulmonary artery occlusion pressure; PAPm: mean pulmonary artery pressure; PVR: pulmonary vascular resistance; VT: tidal volume; PEEP: positive end-expiratory pressure; PPeak: peak respiratory pressure; Pmaw: mean pressure of the airway; VT/CRS: tidal volume to respiratory system compliance (driving pressure); PaO2: arterial oxygen partial pressure; PaCO2: arterial carbon dioxide partial pressure; HCO3: bicarbonate; BE: base excess; PaO2/FiO2 ratio: arterial oxygen partial pressure to oxygen inspiratory fraction; PvO2: venous oxygen partial pressure; PvCO2: venous carbon dioxide partial pressure; SvO2: venous hemoglobin oxygen saturation; \(P_{{{\text{ECO}}_{2} }}\): exhaled carbon dioxide pressure; BTPS: body temperature, and pressure, saturated; STPD: standard temperature and pressure, dry; \(F_{{{\text{ECO}}_{2} }}\): exhaled carbon dioxide fraction; VTE: exhaled tidal volume; VD/VT: pulmonary dead-space fraction; PPV: percentage of small vessels perfused; LVP: percentage of large vessels perfused; FCD: functional capillary density; TCD: total capillary density; MFI: microvascular blood flow index