Table 2.
Intraoperative hemodynamic data, laboratory parameters, and fluid management
| GDT |
Control |
|||
|---|---|---|---|---|
| baseline | end of surgery | baseline | end of surgery | |
| Hemodynamic data | ||||
| Heart rate, bpm | 68 ± 11 | 68 ± 13a | 73 ± 13 | 75 ± 13 |
| MAP, mm Hg | 88 ± 9 | 79 ± 10b | 91 ± 10 | 81 ± 12b |
| CVP, mm Hg | 8 ± 3 | 10 ± 3b | 8 ± 3 | 10 ± 3b |
| SVV, s% | 9 ± 2 | 7 ± 1b | NA | NA |
| Cardiac output, l/min | 4.41 ± 1.07 | 4.79 ± 1.24 | NA | NA |
| Hypotensive events | 0 (0 – 1)a | 1 (0 – 2) | ||
| Laboratory parameters | ||||
| PgCO2, mm Hg | 29.29 ± 5.57 | 42.90 ± 10.01ab | 30.81 ± 5.63 | 48.96 ± 11.34b |
| PaCO2, mm Hg | 39.10 ± 6.83 | 42.11 ± 9.07b | 40.63 ± 6.11 | 44.26 ± 6.75b |
| Pg–aCO2, mm Hg | −9.80 ± 9.44 | 0.78 ± 14.48b | −9.82 ± 6.76 | 4.52 ± 11.48b |
| pHa | 7.42 ± 0.04 | 7.36 ± 0.06ab | 7.42 ± 0.05 | 7.34 ± 0.05b |
| pHi | 7.55 ± 0.10 | 7.37 ± 0.11ab | 7.54 ± 0.08 | 7.30 ± 0.11b |
| Lactate, mmol/l | 1.54 ± 0.32 | 2.12 ± 0.89b | 1.61 ± 0.57 | 2.35 ± 1.02b |
| Hemoglobin, g/l | 12.03 ± 1.81 | 10.52 ± 1.54b | 11.94 ± 1.69 | 10.28 ± 1.61b |
| Hematocrit | 0.37 ± 0.05 | 0.33 ± 0.04b | 0.37 ± 0.04 | 0.32 ± 0.04b |
| Fluid management | ||||
| Blood loss, ml | 800 (600 – 1,000) | 800 (525 – 1,200) | ||
| Crystalloids infused, ml | 1,000 (712 – 1,000) | 1,000 (500 – 1,000) | ||
| Colloids infused, ml | 500 (312 – 1,000)a | 1,000 (500 – 1,000) | ||
| PRBC infused, ml | 600 (400 – 600) | 600 (400 – 800) | ||
| FFP infused, ml | 0 (0 – 200) | 0 (0 – 200) | ||
| Total volume infused, ml | 1,850 (1,525 – 2,537)a | 2,225 (1,850 – 2,900) | ||
| Urinary output, ml | 300 (200 – 400) | 300 (200 – 475) | ||
| Urinary output, ml/kg/h | 1.98 (1.29 – 2.63) | 2.20 (1.53 – 3.25) | ||
Values are presented as means ± SD or medians (IQR). NA = Not available; PRBC = packed red blood cells; FFP = fresh frozen plasma; pHa = arterial pH; pHi = intramucosal pH; PgCO2 = gastric intramucosal partial pressure of carbon dioxide; PaCO2 = arterial partial pressure of carbon dioxide; Pg–aCO2 = mucosal-arterial PCO2 gap.
p < 0.05 between the two groups.
p < 0.05 in comparison to baseline values.