Table 5

Systemic changes during barbiturate coma

Parameter
Pretreatment
1st day
2nd day
3rd day
4rd day

Cardiac output (l/minute)a
     Thiopental
6.8 ± 1.4
6.4 ± 1.5
6.0 ± 1.4
6.7 ± 1.5
6.6 ± 1.8
     Pentobarbital
7.4 ± 2.2
7.1 ± 1.9
6.5 ± 2.0
7 ± 1.4
6.1 ± 1.3
Cardiac index (l/minute per m2)
     Thiopental
3.6 ± 0.6
3.4 ± 0.6
3.1 ± 0.6
3.6 ± 1.6
3.5 ± 0.9
     Pentobarbital
3.8 ± 1.2
3.8 ± 0.8
3.4 ± 0.8
3.6 ± 0.7
3.2 ± 0.6
Peripheral venous resistance (dines/m2)
     Thiopental
1,015 ± 325
1,022 ± 347
1,140 ± 429
1,089 ± 289
1,029 ± 253
     Pentobarbital
952 ± 257
893 ± 210
1,003 ± 322
939 ± 261
914 ± 188
Pulmonary artery wedge pressure (mmHg)
     Thiopental
10.4 ± 4.5
9.6 ± 3.6
10.1 ± 4.1*
10.9 ± 4.6*
11.4 ± 3.5*
     Pentobarbital
11.6 ± 4.0
11.4 ± 3.1
12.8 ± 3.1
13.2 ± 2.1
13.9 ± 3.1
mBP (mmHg)b
     Thiopental
92 ± 11
75 ± 7
76 ± 9*
76 ± 6*
76 ± 8
     Pentobarbital
94 ± 10
74 ± 1
68 ± 10
70 ± 1
70 ± 10
NAD (μg/kg per minute)c
     Thiopental
0.18 ± 0.33
0.28 ± 0.27
0.37 ± 0.3*
0.46 ± 0.39
0.56 ± 0.63
     Pentobarbital
0.19 ± 0.18
0.55 ± 0.68
0.73 ± 0.69
0.60 ± 0.44
0.96 ± 0.79
PO2/FiO2d
     Thiopental
284 ± 130
300 ± 139
293 ± 132
285 ± 138
254 ± 119
     Pentobarbital
317 ± 127
304 ± 116
262 ± 125
211 ± 77
184 ± 92
Haemoglobin
     Thiopental
10.9 ± 1.6
10.7 ± 1.3
11 ± 1.2
10.8 ± 0.9
10.7 ± 1.4
     Pentobarbital
10.6 ± 1.2
10.1 ± 1.0
10.4 ± 1.1
10.5 ± 1.1
10.2 ± 1.2
Temperature (°C)e
     Thiopental
35.8 ± 0.5
34.6 ± 1.3
34.6 ± 3.4
34.9 ± 1.0
34.9 ± 1.0
     Pentobarbital
35.7 ± 1.0
34.6 ± 1.2
34.3 ± 1.3
34.4 ± 1.3
34.2 ± 1.1

aCardiac output, cardiac index, peripheral venous resistance and pulmonary artery wedge pressure: the values are the mean values over 24 hours. bmBP: minimum value of the medium blood pressure during the day. cNAD: maximum dose of Noradrenaline bitartrate during the day. dPO2/FisO2: ratio of partial oxygen tension to inspired fractional oxygen tension at 8:00 am. eTemperature: value of the minimum central temperature. *P < 0.05.

Pérez-Bárcena et al. Critical Care 2008 12:R112   doi:10.1186/cc6999