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Systemic hemodynamics and metabolic variables during infusion of vasopressin |
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| Time |
300 minutes |
360 minutes |
480 minutes |
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| Heart rate (beats per minute)a,b |
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| Group C |
126 ± 24 |
131 ± 26 |
136 ± 29 |
|
| Group V |
125 ± 15 |
90 ± 8c |
104 ± 14c |
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| Group S |
120 ± 23 |
135 ± 26d |
155 ± 29c |
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| Group SV |
126 ± 10 |
106 ± 21c |
117 ± 22 |
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| Mean arterial blood pressure (mm Hg)a,b |
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| Group C |
80 ± 12 |
80 ± 13 |
77 ± 13 |
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| Group V |
80 ± 9 |
97 ± 9c |
100 ± 11c |
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| Group S |
68 ± 9 |
67 ± 9 |
67 ± 7 |
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| Group SV |
74 ± 9 |
100 ± 22c |
95 ± 20c |
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| Cardiac index (mL/kg per minute)a,b |
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| Group C |
148 ± 31 |
147 ± 33 |
149 ± 34 |
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| Group V |
147 ± 27 |
96 ± 13c |
118 ± 12d |
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| Group S |
174 ± 22 |
166 ± 20 |
179 ± 14 |
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| Group SV |
168 ± 47 |
107 ± 13c |
125 ± 27c |
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| PAOP (mm Hg)a,e |
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| Group C |
6 ± 1 |
7 ± 1 |
6 ± 1 |
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| Group V |
6 ± 1 |
8 ± 1d |
8 ± 2c |
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| Group S |
8 ± 1 |
6 ± 1 |
6 ± 2 |
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| Group SV |
6 ± 1 |
6 ± 2 |
6 ± 2 |
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| Arterial pH |
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| Group C |
7.45 ± 0.03 |
7.45 ± 0.03 |
7.44 ± 0.04 |
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| Group V |
7.44 ± 0.02 |
7.44 ± 0.04 |
7.44 ± 0.05 |
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| Group S |
7.43 ± 0.02 |
7.44 ± 0.02 |
7.43 ± 0.02 |
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| Group SV |
7.43 ± 0.04 |
7.43 ± 0.04 |
7.43 ± 0.04 |
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| Arterial standard base excess (mmol/L) |
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| Group C |
3.9 ± 1.4 |
3.6 ± 1.5 |
3.3 ± 1.8 |
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| Group V |
2.4 ± 1.6 |
2.9 ± 1.9 |
2.9 ± 2.2 |
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| Group S |
3.1 ± 0.9 |
3.7 ± 0.5 |
3.2 ± 0.9 |
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| Group SV |
2.2 ± 1.2 |
3.0 ± 1.2 |
2.7 ± 1.5 |
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| Arterial lactate concentration (mmol/L) |
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| Group C |
0.99 ± 0.15 |
0.96 ± 0.12 |
0.95 ± 0.17 |
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| Group V |
0.98 ± 0.12 |
1.10 ± 0.24 |
1.11 ± 0.26d |
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| Group S |
1.36 ± 0.48 |
1.11 ± 0.31c |
1.10 ± 0.30c |
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| Group SV |
1.46 ± 0.25 |
1.25 ± 0.17c |
1.20 ± 0.16c |
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| Arterial oxygen partial pressure (mm Hg)f |
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| Group C |
162 ± 19 |
156 ± 21 |
152 ± 25 |
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| Group V |
161 ± 16 |
143 ± 29d |
141 ± 21 |
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| Group S |
163 ± 17 |
163 ± 16 |
161 ± 19 |
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| Group SV |
165 ± 10 |
157 ± 21 |
160 ± 13 |
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| Mixed venous oxygen saturation (percentage)a,b,e |
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| Group C |
66 ± 5 |
65 ± 6 |
66 ± 5 |
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| Group V |
64 ± 10 |
42 ± 10c |
49 ± 11c |
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| Group S |
59 ± 5 |
59 ± 5 |
61 ± 5 |
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| Group SV |
61 ± 6 |
53 ± 7c |
58 ± 7 |
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| DO2I sys (mL/kg per minute)a,b |
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| Group C |
18 ± 2.6 |
18 ± 2.7 |
19 ± 2.8 |
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| Group V |
16 ± 2.8 |
9.4 ± 1.9c |
11 ± 1.8d |
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| Group S |
17 ± 2.1 |
18 ± 3.3 |
20 ± 2.8 |
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| Group SV |
19 ± 5.5 |
13 ± 2.2c |
15 ± 3.6 |
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| VO2I sys (mL/kg per minute) |
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| Group C |
6.1 ± 0.8 |
6.0 ± 1.1 |
6.2 ± 1.1 |
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| Group V |
5.7 ± 0.7 |
5.6 ± 1.2 |
5.7 ± 1.1 |
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| Group S |
7.3 ± 1.3 |
7.3 ± 1.5 |
7.7 ± 0.5 |
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| Group SV |
7.5 ± 1.8 |
6.0 ± 0.9d |
6.2 ± 1.1 |
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| Urinary output (mL/kg per hour) |
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| Group C |
2.1 ± 2.4 |
2.3 ± 2.4 |
1.8 ± 2.2 |
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| Group V |
1.6 ± 0.8 |
3.8 ± 2.2 |
5.4 ± 3.9d |
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| Group S |
1.4 ± 0.9 |
1.9 ± 1.4 |
0.9 ± 0.5 |
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| Group SV |
1.0 ± 0.5 |
3.5 ± 3.2 |
2.6 ± 2.0 |
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In groups V and SV, a continuous infusion of vasopressin (0.06 IU/kg per hour) was started at t = 300 minutes. Groups C and S received intravenous crystalloids only. ap < 0.05 time-group interaction groups V versus C: effect of vasopressin in control animals. bp < 0.01 time-group interaction groups SV versus S: effect of vasopressin in septic animals. cp < 0.01 compared to t = 300 minutes. dp < 0.05 compared to t = 300 minutes. ep < 0.01 Mann-Whitney test (area under curve): effect of vasopressin in non-septic versus septic animals. fp < 0.05 time-group interaction groups SV versus S: effect of vasopressin in septic animals. DO2I sys: systemic oxygen delivery index. Group C: non-septic control group. Group S: septic control group. Group SV: septic test group treated with vasopressin. Group V: non-septic vasopressin control group. PAOP: pulmonary artery occlusion pressure. VO2I sys: systemic oxygen consumption index. | ||||
Krejci et al. Critical Care 2007 11:R129 doi:10.1186/cc6197 |
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