Table 3.
Data from the intra- and postoperative period in thirty patients undergoing extrapleural pneumonectomy (EPP)
| Before group (n = 18) | After group (n = 12) | P value | |||
|---|---|---|---|---|---|
| Duration of surgery (minutes)a | 220 (185; 315) | 239 (162; 305) | 0.17 | ||
| Bleeding (millilitres)a | 1000 (600; 2400) | 1065 (250; 1600) | 0.49 | ||
| Cumulated urine output on the day of surgerya | 1810 (1240; 2995) | 1528 (945; 2320) | 0.01 | ||
| Values of ScvO2, obtained in the ICU on the day of surgerya, b | |||||
| Lowest values in the period | 61.8 % (42.7; 71.2) | 60.2 % (56.6; 74.1) | 0.45 | ||
| Highest values in the period | 65.0 % (60.1; 77.0) | 70.6 % (62.5; 78.6) | 0.05 | ||
| Needed inopressor therapy in the ICUc | 8 (44) d | 3 (25)e | 0.44 | ||
| Pulmonary stasis on X-ray POD 1c | 1 (6) | 3 (25) | 0.27 | ||
| Postoperative complicationsc | |||||
| Arial Fibrillation | 10 (56) | 5 (42) | 0.71 | ||
| Plasma Lactate > 2.5 mmol/lf | 5 (28) | 3 (25) | 1.0 | ||
| Pneumonia | 2 (11) | 0 | 0.50 | ||
| Respiratory insufficiency | 1 (6) | 0 | 1.0 | ||
| Gastrointestinal complicationsg | 2 (11) | 3 (25) | 0.36 | ||
| Serum Creatinine | POD 1 | POD 3 | POD 1 | POD 3 | |
| Increased 1.5–2 x preoperative level | 0 | 3 (17) | 1 (8) | 1 (8) | 0.40/0.63 |
| Increased 2–3 x preoperative level | 1 (6) | 1 (6) | 1 (8) | 1 (8) | 1.00/1.00 |
| Increased more than 3 x preoperative level | 0 | 1 (6) | 0 | 0 | --/1.0 |
| Needed haemodialysis or haemofiltration | 1 (6) | 0 | 1.0 | ||
| Readmissions to the ICUf | 1 (6) | 0 | 1.0 | ||
| Thirty days mortalityf | 1 (6) | 0 | 1.0 | ||
| Length of stay in the ICU (days)a | 1 (1; 25) | 1 (1; 1) | 0.04 | ||
| Length of stay in hospital (days)a | 16.5 (8; 42) | 13 (10; 24) | 0.09 | ||
ICU Intensive Care Unit; POD Postoperative Day; ScvO2 Central venous saturation
aMedian (range), bn = 16 in the before group and n = 11 in the after group, c Number of patients (group percentage), dAll 8 patients received continuous infusion of dopamine between six and 72 h, and one patient needed supplementary infusion of norepinephrine for six hours, eAll three patients received continuous infusion of dopamine between 10 and 11 h, f Values obtained on the day of operation, gPseudo obstruction or severe constipation