Table 2.
Data on microcirculation, tissue oxygenation, hemodynamics, blood gas analysis and fluid balance
| Parameter | Group | M 0 | M 1 | M 2 | M 3 | M 4 | M 5 | M 6 | M 7 | M 8 |
|---|---|---|---|---|---|---|---|---|---|---|
|
Tissue oxygenation(tpO
2
mmHg) |
1 (TEA) |
63.8 ± 14.1 |
40.2 ± 17.7 |
32.5 ± 11.4 |
36.3 ± 13.7 |
37.1 ± 12.2 |
36.8 ± 11.0 |
36.2 ± 10.5 |
35.2 ± 9.1 |
35.0 ± 9.1 |
|
2 (Control) |
64.2 ± 14.1 |
45.2 ± 21.4 |
32.4 ± 16.2 |
25.7 ± 15.9* |
22.8 ± 15.6* |
22.2 ± 15.9* |
20.4 ± 15.0* |
20.5 ± 14.3* |
20.4 ± 14.2* |
|
|
Microcirculation(Flux AU) |
1 (TEA) |
391.9 ± 82.8 |
253.3 ± 81.2 |
236.1 ± 55.1 |
288.9 ± 73.4 |
300.4 ± 68.5 |
276.2 ± 65.7 |
254.1 ± 73.8 |
249.9 ± 66.0 |
241.5 ± 97.0 |
|
2 (Control) |
408.5 ± 88.3 |
267.4 ± 103.4 |
233.2 ± 56.3 |
215.9 ± 104.9* |
201.8 ± 108.1* |
182.4.0 ± 90.0* |
168.6 ± 89.0* |
160.5 ± 80.7* |
150.6 ± 85.7* |
|
|
HR (min
-1
) |
1 (TEA) |
90.5 ± 24.9 |
91.9 ± 24.5 |
95.4 ± 21.5 |
94.4 ± 19.9 |
97.7 ± 16.8 |
100.7 ± 16.3 |
99.4 ± 14.6 |
99.3 ± 10.3 |
99.4 ± 13.2 |
|
2 (Control) |
85.5 ± 13.8 |
85.4 ± 14.9 |
91.1 ± 16.6 |
95.5 ± 16.7 |
98.9 ± 15.0 |
101.0 ± 13.8 |
103.3 ± 14.7 |
102.6 ± 16.5 |
100.8 ± 11.3 |
|
|
MAP (mmHg) |
1 (TEA) |
72.5 ± 10.6 |
74.1 ± 11.5 |
76.8 ± 10.6 |
74.8 ± 8.7 |
74.9 ± 8.4 |
70.9 ± 7.2 |
67.2 ± 6.6 |
64.1 ± 5.3 |
62.2 ± 6.2 |
|
2 (Control) |
74.7 ± 10.4 |
73.3 ± 8.3 |
73.5 ± 9.4 |
73.4 ± 7.7 |
73.1 ± 11.2 |
69.6 ± 5.8 |
66.5 ± 6.7 |
64.2 ± 6.2 |
61.9 ± 6.8 |
|
|
CI (L/min) |
1 (TEA) |
4.7 ± 1.3 |
4.9 ± 1.3 |
5.2 ± 1.1 |
5.1 ± 0.9 |
5.0 ± 0.9 |
5.2 ± 0.9 |
4.8 ± 0.7 |
4.6 ± 0.5 |
4.7 ± 0.8 |
|
2 (Control) |
4.6 ± 0.8 |
4.6 ± 0.8 |
5.1 ± 1.1 |
5.1 ± 0.8 |
5.1 ± 0.9 |
5.1 ± 0.9 |
5.2 ± 1.0 |
5.2 ± 1.1 |
5.2 ± 0.9 |
|
|
SVV (%) |
1 (TEA) |
6.5 ± 2.7 |
6.2 ± 1.1 |
5.9 ± 1.0 |
5.9 ± 1.0 |
7.1 ± 1.9 |
7.1 ± 1.5 |
6.5 ± 1.5 |
7.1 ± 1.5 |
7.3 ± 1.5 |
|
2 (Control) |
6.6 ± 1.6 |
6.8 ± 1.6 |
6.1 ± 1.3 |
6.1 ± 1.3* |
6.9 ± 1.8* |
6.6 ± 0.9* |
6.2 ± 1.6* |
6.8 ± 1.7* |
7.2 ± 2.6* |
|
|
CVP (mmHg) |
1 (TEA) |
6.7 ± 1.9 |
6.6 ± 1.7 |
7.0 ± 1.9 |
6.6 ± 2.3 |
6.5 ± 2.2 |
6.4 ± 1.7 |
6.6 ± 1.8 |
6.7 ± 1.6 |
6.6 ± 1.9 |
|
2 (Control) |
7.2 ± 2.4 |
6.6 ± 1.9 |
7.1 ± 2.0 |
7.0 ± 1.7 |
7.1 ± 2.0 |
7.2 ± 2.2 |
7.8 ± 2.3 |
7.5 ± 2.6* |
8.1 ± 2.9* |
|
|
p
a
O
2
(mmHg) |
1 (TEA) |
161.1 ± 67.7 |
147.8 ± 24.9 |
139.1 ± 14.7 |
137.1 ± 12.7 |
134.7 ± 16.5 |
131.1 ± 17.6 |
130.2 ± 18.0 |
126.8 ± 17.2 |
125.3 ± 17.3 |
|
2 (Control) |
159.2 ± 21.2 |
145.4 ± 16.8 |
141.1 ± 14.9 |
138.6 ± 16.7 |
128.8 ± 12.7 |
124.8 ± 18.2 |
122.4 ± 17.1 |
118.4 ± 16.6 |
115.9 ± 18.7 |
|
|
ScvO
2
(%) |
1 (TEA) |
72.8 ± 8.4 |
75.2 ± 8.3 |
73.9 ± 10.8 |
74.4 ± 11.7 |
73.6 ± 13.2 |
71.6 ± 12.6 |
71.3 ± 9.6 |
69.1 ± 9.3 |
65.6 ± 12.9 |
|
2 (Control) |
81.6 ± 9.9 |
77.5 ± 9.6 |
79.4 ± 9.8 |
77.3 ± 9.4 |
70.8 ± 12.3 |
73.6 ± 12.2 |
73.4 ± 11.0 |
74.8 ± 11.5 |
72.0 ± 12.5 |
|
|
Lactate(mmol/L) |
1 (TEA) |
0.9 ± 0.3 |
0.8 ± 0.2 |
0.8 ± 0.2 |
0.9 ± 0.2 |
0.8 ± 0.2 |
0.8 ± 0.2 |
0.7 ± 0.2 |
0.7 ± 0.2 |
0.7 ± 0.2 |
|
2 (Control) |
0.9 ± 0.3 |
0.9 ± 0.4 |
0.9 ± 0.4 |
0.9 ± 0.4 |
0.8 ± 0.3 |
0.7 ± 0.2 |
0.6 ± 0.2 |
0.6 ± 0.2 |
0.6 ± 0.2 |
|
|
Colloids (ml) |
1 (TEA) |
59 ± 141 |
121 ± 193 |
397 ± 235 |
518 ± 203 |
676 ± 290 |
879 ± 367 |
1.088 ± 434 |
1.294 ± 460 |
1.594 ± 560 |
|
2 (Control) |
0 ± 0 |
50 ± 132 |
174 ± 209 |
388 ± 172 |
538 ± 156 |
768 ± 225 |
1.032 ± 171 |
1.382 ± 269 |
1.694 ± 420 |
|
|
Cristalloids (ml)s |
1 (TEA) |
757 ± 210 |
1047 ± 325 |
1.268 ± 403 |
1.518 ± 460 |
1.844 ± 548 |
2.347 ± 637 |
2.756 ± 748 |
3.232 ± 968 |
3.606 ± 1.103 |
|
2 (Control) |
621 ± 211 |
932 ± 292 |
1.271 ± 335 |
1.415 ± 363 |
1.829 ± 357 |
2.276 ± 370 |
2.788 ± 501 |
3.300 ± 663 |
0.3800 ± 794 |
|
|
Urine (ml) |
1 (TEA) |
297 ± 271 |
406 ± 370 |
579 ± 491 |
682 ± 552 |
1.012 ± 702 |
1.294 ± 833 |
1.571 ± 1.015 |
1.868 ± 1.166 |
2.188 ± 1.343 |
| 2 (Control) | 206 ± 228 | 335 ± 337 | 582 ± 559 | 762 ± 644 | 1.065 ± 748 | 1.424 ± 858 | 1.876 ± 1.013 | 2.376 ± 1.136 | 2.844 ± 1.305 |
Values for tissue oxygenation (tpo2 (mmHg)), microcirculatory flow (Flux (AU)), Heart rate (HR (min-1)), mean arterial pressure (MAP (mmHg)), cardiac index (CI (L/min)), systemic vascular resistance (SVRi (dynes*sec/cm5/m2)), stroke volume variation (SVV (%)), central venous pressure (CVP (mmHg)), arterial partial oxygen pressure (paO2 (mmHg)), central venous oxygen saturation (ScvO2 (%)), lactate measured in arterial blood gas analysis (mmol/L), cumulative crystalloid infusion (ml), cumulative colloid infusion (ml) and urine output (ml). Data are presented as mean ± standard deviation. *represents statistically significant differenence between treatment groups (P <0.05) at time of measurement. M 0: before induction of the acute pancreatitis, M 1 and 2: after induction of the acute pancreatitis, M 2 to 8: during treatment interval. TEA, thoracic epidural anesthesia.