Table 2 |
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|
Oxygen delivery, extraction, and other variables |
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|
sDO2Ia, b (mL/kg per minute) |
sERa-c (percentage) |
mDO2Ib (mm Hg/kg per minute) |
Mesent lac (mmol/L) |
Arterial Hbb (g/L) |
Arterial pH |
Arterial pO2 (mm Hg) |
Arterial pCO2 (mm Hg) |
Arterial BE (mmol/L) |
|
|
|
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|
Restricted Ringer lactate solution (R-RL) |
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|
0 minutes |
109 ± 11 |
49 ± 5 |
25 ± 2 |
1.5 ± 0.4 |
101 ± 7 |
7.51 ± 0.02 |
138 ± 9 |
36 ± 2 |
5.4 ± 0.9 |
|
60 minutes |
103 ± 11 |
48 ± 6 |
26 ± 2 |
1.4 ± 0.6 |
102 ± 6 |
7.51 ± 0.02 |
135 ± 10 |
36 ± 3 |
5.3 ± 1.2 |
|
180 minutes |
97 ± 12 |
50 ± 6 |
21 ± 2 |
1.2 ± 0.3 |
105 ± 9 |
7.5 ± 0.02 |
134 ± 15 |
36 ± 2 |
4.5 ± 1.7 |
|
240 minutes |
97 ± 12 |
50 ± 4 |
20 ± 1 |
1.3 ± 0.2 |
104 ± 6 |
7.49 ± 0.04 |
135 ± 12 |
37 ± 2 |
4.3 ± 2.0 |
|
|
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|
Goal-directed Ringer lactate solution (GD-RL) |
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|
0 minutes |
109 ± 17 |
51 ± 4 |
26 ± 6 |
1.4 ± 0.2 |
100 ± 10 |
7.52 ± 0.05 |
132 ± 11 |
37 ± 3 |
6.3 ± 1.9 |
|
60 minutes |
116 ± 19 |
50 ± 4 |
30 ± 8 |
1.2 ± 0.2 |
99 ± 10 |
7.52 ± 0.04 |
132 ± 10 |
36 ± 2 |
6.4 ± 2.0 |
|
180 minutes |
134 ± 26 |
44 ± 4 |
27 ± 6 |
1.2 ± 0.3 |
96 ± 6 |
7.49 ± 0.037 |
127 ± 10 |
38 ± 2 |
5.6 ± 2.0 |
|
240 minutes |
130 ± 18 |
42 ± 7 |
26 ± 7 |
1.2 ± 0.3 |
90 ± 8 |
49 ± 0.03 |
126 ± 9 |
38 ± 3 |
5.1 ± 2.1 |
|
|
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|
Goal-directed colloid solution (GD-C) |
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|
0 minutes |
116 ± 18 |
50 ± 6 |
26 ± 6 |
1.4 ± 0.4 |
97 ± 12 |
7.52 ± 0.03 |
135 ± 12 |
37 ± 3 |
5.8 ± 1.2 |
|
60 minutes |
141 ± 22c |
38 ± 5b, c |
35 ± 8 |
0.9 ± 0.2 |
86 ± 10 |
7.5 ± 0.02 |
132 ± 17 |
38 ± 3 |
5.7 ± 1.4 |
|
180 minutes |
151 ± 33d |
38 ± 4d, e |
29 ± 6d |
0.8 ± 0.3 |
89 ± 11d |
7.49 ± 0.02 |
131 ± 14 |
38 ± 1 |
5.0 ± 1.3 |
|
240 minutes |
158 ± 38d |
37 ± 5d |
27 ± 5d |
0.8 ± 0.3 |
87 ± 12d |
7.49 ± 0.02 |
128 ± 16 |
37 ± 1 |
4.6 ± 1.0 |
|
|
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|
Data are presented as mean ± standard deviation. t = 0 baseline values are from before the start of the respective fluid therapy. The measurements were performed hourly for 4 hours. Significant differences (P < 0.05) for area under the curve: aR-RL versus GD-RL, bR-RL versus GD-C, cGD-RL versus GD-C. Significant differences (P < 0.05) for analysis of variance for repeated measurements (Tukey post hoc test): dR-RL versus GD-C, eGD-RL versus GD-C. The R-RL group received 3 mL/kg per hour of lactated Ringer solution throughout the entire experiment. The GD-RL group received 3 mL/kg per hour of lactated Ringer solution plus 250 mL of lactated Ringer solution if SvO2 was less than 60%. The GD-C group received 3 mL/kg per hour of lactated Ringer solution plus 250 mL of hydroxyethyl starch (130/0.4) if SvO2 was less than 60%. BE, standard base excess; Hb, hemoglobin concentration; mDO2I, mesenteric oxygen delivery; mesent lac, mesenteric venous lactate; pCO2, carbon dioxide partial pressure; pO2, oxygen partial pressure; sDO2, systemic oxygen delivery index; sER, systemic oxygen extraction ratio. |
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Hiltebrand et al. Critical Care 2009 13:R40 doi:10.1186/cc7761 |
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