Table 2.
Variable | Mechanical ventilation | Spontaneous breathing trial | P valuea | ||
---|---|---|---|---|---|
Start | End | ||||
HR, beats/minute | Control day | 91 ± 14 | 105 ± 14b | 111 ± 15b | 0.26 |
Study day | 94 ± 16 | 105 ± 16b | 107 ± 13b | ||
sBP, mm Hg | Control day | 149 ± 19 | 179 ± 26c | 177 ± 25c | 0.002 |
Study day | 144 ± 21 | 142 ± 23d | 135 ± 15d | ||
mBP, mm Hg | Control day | 94 ± 14 | 110 ± 21b | 109 ± 20c | < 0.001 |
Study day | 91 ± 14 | 89 ± 15d | 85 ± 12d | ||
RPP, mm Hg beats/minute | Control day | 13,708 ± 3,166 | 19,041 ± 4,129b | 19,856 ± 4,877b | < 0.001 |
Study day | 13,400 ± 2,637 | 14,738 ± 2,706d | 14,625 ± 2,383d | ||
PRA, mm Hg | Control day | 11.7 ± 3.2 | 13 ± 5.6 | 13.3 ± 5.8 | 0.001 |
Study day | 10.6 ± 2.9 | 8.3 ± 3.5d | 8.7 ± 3.2d | ||
Mpap, mm Hg | Control day | 29.9 ± 4.8 | 40.3 ± 6.2b | 41.6 ± 5.8b | < 0.001 |
Study day | 28.8 ± 5.9 | 28.3 ± 4.6d | 28.3 ± 3.9d | ||
Ppao, mm Hg | Control day | 14.8 ± 3.8 | 23.3 ± 7.6b | 23.4 ± 7.4b | < 0.001 |
Study day | 14.8 ± 4.9 | 14.2 ± 3.7d | 14.8 ± 3.7d | ||
CO, L/minute | Control day | 6.6 ± 2 | 8.2 ± 2 | 8.7 ± 2.5c | 0.89 |
Study day | 6.4 ± 2 | 8.3 ± 2.3c | 8.7 ± 2.7b | ||
SV, mL | Control day | 73.2 ± 22.7 | 77.8 ± 16.3 | 78.8 ± 19.5 | 0.69 |
Study day | 70.3 ± 27.7 | 80.8 ± 26.8 | 81.3 ± 24.4 | ||
SVR, dyne/s per cm5 | Control day | 1,084 ± 387 | 992 ± 300 | 931 ± 277 | 0.10 |
Study day | 1,085 ± 361 | 827 ± 268c | 756 ± 252b | ||
PVR, dyne/s per cm5 | Control day | 199 ± 69 | 176 ± 70 | 171 ± 51 | 0.28 |
Study day | 192 ± 87 | 147 ± 57 | 137 ± 57c | ||
LVSW, g-m | Control day | 78.2 ± 26.4 | 91.9 ± 31.2 | 93.4 ± 37.1 | 0.62 |
Study day | 73.5 ± 33.8 | 82.9 ± 35.6 | 78.3 ± 33.1 | ||
RVSW, g-m | Control day | 18.5 ± 9 | 28.8 ± 8.2b | 30.8 ± 11.2b | 0.07 |
Study day | 17.6 ± 10.3 | 22.8 ± 12.1 | 22.3 ± 10.1d |
Values are presented as mean ± standard deviation. aP value of the interaction (day × time) of the repeated-measures two-way analysis of variance comparison between the Control day and Study day across time (that is, during mechanical ventilation and the 10th minute [Start] and last minute [End] of the spontaneous breathing trial). bP < 0.01 versus mechanical ventilation. cP < 0.05 versus mechanical ventilation. dP < 0.05 versus control day. CO, cardiac output; HR, heart rate; LVSW, left ventricular stroke work; mBP mean arterial blood pressure; mPAP mean pulmonary arterial pressure; Ppao, pulmonary artery occlusion pressure; PRA, right atrial pressure; PVR, pulmonary vascular resistance; RPP, rate-pressure product; RVSW, right ventricular stroke work; sBP, systolic arterial blood pressure; SV, stroke volume; SVR systemic vascular resistance.