From: Peripheral tissue hypoperfusion predicts post intubation hemodynamic instability
Parameters at baseline | No PIHI (n = 69) | PIHI (n = 51) | p value |
---|---|---|---|
Age (years) | 70 [58–77] | 68 [57–77] | 0.76 |
Male gender, No. (%) | 36 (52) | 35 (69) | 0.10 |
SAPII score | 41 [29–53] | 57 [45–69] | < 0.0001 |
SOFA score | 5 [4–7] | 9 [6–13] | < 0.0001 |
Central temperature (°C) | 37.1 [36.7–37.6] | 38.1 [37.4–39.2] | 0.0001 |
Infection status | |||
Sepsis, No. (%) | 18 (26) | 40 (78) | < 0.0001 |
Septic shock, No. (%) | 4 (6) | 14 (33) | 0.0004 |
Tissue perfusion markers | |||
Arterial lactate level (mmol/L) | 1.3 [0.9–1.8] | 2.3 [1.1–3.5] | 0.004 |
Toe-to-room temperature gradient (°C) | 4.4 [1.3–7.7] | 2.6 [0.2–7.5] | 0.16 |
Index capillary refill time (s) | 1.5 [1–2.1] | 1.7 [1.1–2.9] | 0.17 |
Knee capillary refill time (s) | 2 [1.3–3.0] | 2.9[1.9–5.3] | 0.002 |
Mottling score | |||
0–1 | 56 (86) | 24 (55) | |
[2–3] | 7 (11) | 11 (25) | |
[4–5] | 2 (3) | 9 (20) | 0.0007 |
Blood gas parameters | |||
pH | 7.42 [7.3–7.46] | 7.35 [7.28–7.45] | 0.22 |
PaO2 (mmHg) | 88 [63–161] | 89 [69–188] | 0.69 |
PaCO2 (mmHg) | 36 [32–51] | 35 [27–40] | 0.055 |
Indication for TI | |||
Hypoxemia, No. (%) | 32 (46) | 29 (57) | 0.34 |
Hypercapnia, No. (%) | 10 (14) | 6 (12) | 0.87 |
Coma from other cause, No. (%) | 23 (33) | 12 (24) | 0.33 |
Hemodynamic and cardiac function parameters | |||
Norepinephrine prior to intubation, No. (%) | 5 (7) | 20 (39) | < 0.0001 |
Mean arterial blood pressure (mmHg) | 87 [78–94] | 81 [71–93] | 0.14 |
Cardiac index (L/min/m2) | 3.2 [2.2–4] | 2.8 [2.1–3.7] | 0.358 |
Heart rate (/min) | 94 [82–108] | 112 [95–130] | 0.001 |
Left ventricular ejection fraction ≤ 30%, No. (%) | 5 (7) | 5 (11) | 0.70 |
Left to right ventricular diameter ratio ≥ 0.6, No. (%) | 24 (35) | 15 (32) | 0.92 |