Table 1. Hemodynamic and respiratory variables in Responder and Non-Responder before and after fluid loading during baseline and pleural effusion.
Responder n = 6 | Non-Responder n = 5 | |||||||
Variable | BL - NV | PLE - NV | BL - FL | PLE - FL | BL - NV | PLE – NV | BL - FL | PLE - FL |
HR (min −1 ) | 123±15 | 138±23 | 1105 | 13421 | 11417 | 14423* , # | 10917 | 13227 |
MAP (mmHg) | 594 | 56±5 | 82±7a | 82±3a,c | 76±3 | 64±7 | 93±2* , Δ | 87±4* , Δ |
SVR (dyne•s/cm5) | 892±225 | 1022±100 | 1155±245 | 1321±307a | 960±174 | 1065±277 | 1173±173 | 1317±272* |
CL (ml cmH2O −1 ) | 41±10 | 18±4a,b | 39±9c | 16±4a,b | 38±13 | 16±4* , # | 32±10Δ | 15±3* , # |
CCW (ml cmH2O −1 ) | 87±19 | 94±24 | 82±10 | 89±24 | 94±4 | 171±80* , # | 897Δ | 126±46# |
dPes (cmH2O) | 8.0±1.4 | 12.9±5.7a,b | 9.0±1.4c | 13.3±1.4a,b | 5.7±1.5 | 13.2±4.9* , # | 7.0±2.9 | 13.5±3.1* |
Ptp,es (cmH2O) | 9.8±3.7 | 13.7±3.8a,b | 8.3±3.9 | 14.3±4.6a,b | 10.7±4.0 | 14.2±4.3* , # | 8.5±4.7 | 15.8±3.1* , # |
PAW peak (cmH2O) | 24±3 | 36±3a,b | 24±3c | 39±4a,b | 25±4 | 40±5* , # | 26±3Δ | 41±4* , # |
PAW mean (cmH2O) | 12±2 | 15±1 | 12±2 | 15±1 | 12±1 | 16±1 | 12±1 | 16±1 |
VT (ml) | 350±56 | 344±57 | 343±49 | 334±42 | 347±42 | 341±46 | 340±48 | 337±47 |
PEEP (cmH2O) | 5.1±2.4 | 5.9±0.5 | 5.2±2.3 | 5.1±1.4 | 5.8±0.9 | 5.2±0.4 | 5.5±1.3 | 5.1±0.5 |
COPAC (l min −1 ) | 5.1±0.7 | 3.9±0.7a,b | 6.2±0.4a,c | 5.3±1.1b,c | 6.2±1.2 | 4.0±0.9* , # | 6.5±1.8Δ | 4.1±1.3* , # |
SVPAC (ml min −1 ) | 45.2±4.7 | 30.8±8.3a,b | 52.3±5.1a | 41.7±9.1b,c | 52.3±8.2 | 31.5±8.9* , # | 53.8±7.4Δ | 31.2±9.7* , # |
CVP (mmHg) | 7.2±2.8 | 12.0±3.4a | 9.2±3.2 | 13.3±2.6a,b | 7.5±5.7 | 10.8±2.6 | 10.2±5.8 | 12.8±2.7* |
PAOP (mmHg) | 10.3±2.3 | 13.3±1.6a | 12.5±2.3 | 15.7±2.9a | 10.0±5.3 | 15.0±4.6* | 13.0±4.5 | 16.2±1.9* , # |
PPV (%) | 15.6±3.7 | 20.6±8.2b | 11.0±1.7a,c | 10.7±5.3a,c | 8.6±3.1 | 9.4±7.1# | 10.0±2.6Δ | 14.0±7.7* , # |
SVV (%) | 13.7±5.3 | 17.5±6.9 | 10.7±3.2 c | 10.4±3.1c | 8.2±2.9 | 9.5±4.7# | 9.4±3.9 | 12.5±3.7* , # |
GEDV (ml) | 635±61 | 496±87b | 694±43a,c | 591±83b | 743±93 | 641±87* , # | 764±82* , Δ | 715±103Δ |
BL - NV, baseline normovolemia; PLE - NV, pleural effusion normovolemia; BL - FL, baseline fluid loading; PLE - FL, pleural effusion fluid loading; HR, heart rate; MAP, mean arterial pressure; SVR, systemic vascular resistance; CL, lung compliance; CCW, chest wall compliance; dPes, delta esophageal pressure; Ptp,es, transpulmonary pressure measured with an esophageal balloon; PAW peak, end-inspiratory airway pressure; PAW mean, mean airway pressure; VT, tidal volume; PEEP, positive end-expiratory pressure; COPAC, cardiac output derived from pulmonary thermodilution; SVPAC, stroke volume derived from pulmonary thermodilution; CVP, central venous pressure; PAOP, pulmonary artery occlusion pressure; PPV, pulse pressure variation; SVV, stroke volume variation; GEDV, global end-diastolic volume; Values are given as mean ±SD; Responder:
p<0.05 (vs. BL - NV);
p<0.05 (vs. BL - FL);
p<0.05 (vs. PLE – NV); Non-Responder:
p<0.05 (vs. BL - NV);
p<0.05 (vs. BL - FL);
p<0.05 (vs. PLE – NV).