Table II.
Variables | Baseline (1.0 MAC) | Deep anesthesia (2.3 MAC) | Fluid therapy | |
---|---|---|---|---|
30 min (2.3 MAC) | 60 min (1.2 MAC) | |||
End-tidal CO2 (mmHg) | 38 ± 2a | 36 ± 3a | 37 ± 3a | 43 ± 4b |
Arterial pH | 7.395 ± 0.033a | 7.403 ± 0.034a | 7.379 ± 0.035a | 7.345 ± 0.043b |
PacO2 (mmHg) | 38 ± 3a | 36 ± 2a | 39 ± 4a | 44 ± 5b |
PaO2 (mmHg) | 583 ± 41a | 584 ± 29a | 620 ± 16b | 627 ± 17b |
Arterial HCO−3 (mEq/L) | 24 ± 1.5a,c | 23 ± 1.8b | 23 ± 1.9a,b | 24 ± 1.9c |
Arterial base deficit (mEq/L) | −1.8 ± 1.8a | −2.4 ± 2.1a | −2.5 ± 1.9a | −1.7 ± 2.1a |
Arterial lactate (mmol/L) | 1.3 ± 0.6a | 1.5 ± 0.7a | 1.5 ± 0.7a | 1.5 ± 0.7a |
SaO2 (%) | 99.1 ± 0.1a | 99.1 ± 0.1a | 99.2 ± 0.1a | 99.1 ± 0.1a |
Central venous pH | 7.355 ± 0.027a,b | 7.352 ± 0.034a,b | 7.332 ± 0.031a | 7.318 ± 0.036b |
Central venous CO2 (mmHg) | 45 ± 4a | 45 ± 3a | 47 ± 5a | 49 ± 4b |
Central venous O2 (mmHg) | 78 ± 16a,b | 53 ± 8a | 64 ± 31a | 109 ± 68b |
Central venous HCO−3 (mEq/L) | 25 ± 2.1a,b | 25 ± 1.1a,b | 25 ± 1.7a | 26 ± 1.2b |
Central venous base deficit (mEq/L) | −0.9 ± 2.1a | −0.8 ± 1.6a | −1.2 ± 1.5a | −1.0 ± 1.5a |
Central venous lactate (mmol/L) | 1.5 ± 0.7a | 1.4 ± 0.7a | 1.5 ± 0.7a | 1.5 ± 0.7a |
ScvO2 (%) | 93.8 ± 5.1a | 81.6 ± 9.3b | 80.3 ± 18.0b | 94.7 ± 5.5a |
VO2 (mL O2/kg per minute) | 4.1 ± 1.5a | 4.6 ± 1.2a | 4.8 ± 2.1a | 5.0 ± 1.3a |
DO2 (mL O2/kg per minute) | 33.1 ± 7.6a | 19.0 ± 6.3b | 20.0 ± 7.9b | 37.5 ± 11.9a |
ERO2 (%) | 12 ± 4.7a | 25 ± 7.4b | 27 ± 15.9b | 14 ± 5.1a |
CaO2 (mL/L) | 20.8 ± 1.4a | 19.8 ± 1.4b | 16.3 ± 1.2c | 15.7 ± 1.5d |
CcvO2 (mL/L) | 18.2 ± 2.0a | 14.9 ± 1.7b | 11.7 ± 2.5c | 13.5 ± 1.2c |
Hb (g/dL) | 14.3 ± 1.1a | 13.6 ± 1.0b | 10.8 ± 0.9c | 10.4 ± 1.2d |
PCV (%) | 40 ± 4a | 37 ± 2b | 31 ± 3c | 28 ± 3d |
Change in plasma volume (%) | ND | 13*,a | 41§,b | 49§,c |
Change in blood volume (%) | ND | 8*,a | 19§,b | 32§,c |
TP (g/dL) | 5.3 ± 0.4a | 5.0 ± 0.3b | 3.8 ± 0.3c | 3.3 ± 0.4d |
COP (mmHg) | 19.5 ± 2.2a | 16.4 ± 1.7b | 10.7 ± 0.7c | 9.8 ± 0.9d |
Na+ (mEq/L) | 144 ± 1.0a | 143 ± 1.0b | 141 ± 0.5c | 141 ± 1.0c |
K+ (mEq/L) | 3.8 ± 0.1a | 4.2 ± 0.1b,c | 4.2 ± 0.3b | 4.4 ± 0.4c |
Cl− (mEq/L) | 116 ± 2a | 116 ± 2a | 115 ± 1a | 113 ± 2b |
Ca2+ (mEq/L) | 1.29 ± 0.03a | 1.25 ± 0.03b | 1.12 ± 0.02c | 1.10 ± 0.03d |
Compared to baseline at 1.0 MAC.
Compared to 2.3 MAC without fluids.
Different superscript letters within a row indicate significant (P < 0.05) differences between values in that row.
MAC — Minimum alveolar concentration; CO2 — Carbon dioxide; mm/Hg — Millimeters of mercury; PaCO2 — Arterial partial pressure of carbon dioxide; PaO2 — Arterial partial pressure of oxygen; SaO2 — Saturation of hemoglobin in arterial blood; O2 — oxygen; HCO−3 — Bicarbonate ion; ScvO2 — Saturation of hemoglobin in central-venous blood; VO2 — oxygen consumption; DO2 — oxygen delivery; ERO2 — oxygen extraction ratio; CaO2 — Arterial oxygen content; CcvO2 — Central-venous oxygen content; Hb — Hemoglobin; PCV — Packed cell volume; TP — Total protein; COP — Colloid osmotic pressure; Na+ — Sodium ion; K+ — Potassium ion; CI− — Cardiac index; Ca2+ — Calcium ion.