Table 2.
Whole cohort (n = 20) |
CI early response⁎ |
P |
MAP early response† |
P | |||
---|---|---|---|---|---|---|---|
CI non-responders (n = 15) |
CI responders (n = 5) |
MAP non-responders (n = 9) | MAP responders (n = 11) | ||||
Fluid bolus characteristics | |||||||
Indication | 0.29 | 0.87 | |||||
Tachycardia | 1 (5%) | 1 (7%) | 0 (0%) | 0 (0%) | 1 (9%) | ||
Low CI | 6 (30%) | 3 (20%) | 3 (60%) | 2 (22%) | 4 (36%) | ||
Low filling pressures | 3 (15%) | 3 (20%) | 0 (0%) | 2 (22%) | 1 (9%) | ||
Hypotension | 8 (40%) | 7 (47%) | 1 (20%) | 4 (44%) | 4 (36%) | ||
Other | 2 (10%) | 1 (7%) | 1 (20%) | 1 (11%) | 1 (9%) | ||
Infusion duration (min), median (IQR) | 7 (3–9) | 7 (4–9) | 3 (3–7) | 0.23 | 8 (7–10) | 4 (3–7) | 0.05 |
CI response | |||||||
Early response | 5 (25%) | 0 (0%) | 5 (100%) | < 0.01 | na | na | na |
At 15 min after bolus | 1 (5%) | 1 (7%) | na | na | na | na | na |
At 30 min after bolus | 8 (40%) | 5 (33%) | 3 (60%) | 0.35 | na | na | na |
Dissipation of CI response‡ | |||||||
Number of dissipators | 1 (5%) | na | 1 (20%) | na | na | na | na |
Time to dissipation (min), median (IQR) | na | na | 30 (30–30) | na | na | na | na |
MAP response | |||||||
Early response | 11 (55%) | na | na | na | 0 (0%) | 11 (100%) | < 0.01 |
At 15 min after bolus | 7 (35%) | na | na | na | 2 (22%) | 5 (45%) | 0.37 |
At 30 min after bolus | 5 (25%) | na | na | na | 1 (11%) | 4 (36%) | 0.32 |
Dissipation of MAP response§ | |||||||
Number of dissipators | 5 (25%) | na | na | na | na | 5 (45%) | na |
Time to dissipation (min), median (IQR) | na | na | na | na | na | 6 (6–10) | na |
CI = cardiac index; IQR = interquartile range; MAP = mean arterial pressure; na = not applicable.
Early CI response to fluid bolus therapy (FBT) was verified when CI increased by ≥ 15% above baseline immediately after the end of the FBT infusion.
Early MAP response to FBT was verified when MAP increased by ≥ 10% above baseline immediately after the end of the FBT infusion.
Dissipation of CI response to FBT was verified when CI was no greater than 5% above baseline for at least 2 consecutive minutes.
Dissipation of MAP response to FBT was verified when MAP was no greater than 3 mmHg above baseline for at least 2 consecutive minutes.