Table 3.
Blood gas parameters during hemorrhage and fluid resuscitation
Group | T bsl | T 0 | T 1 | T 2 | T 3 | T 4 | |
---|---|---|---|---|---|---|---|
pH | HES | 7.613 ± 0.038# | 7.603 ± 0.061# | 7.568 ± 0.068# | 7.54 ± 0.052 | 7.513 ± 0.043*† | 7.519 ± 0.042*† |
RF | 7.541 ± 0.049 | 7.498 ± 0.063 | 7.448 ± 0.055*† | 7.393 ± 0.161* | 7.464 ± 0.055* | 7.48 ± 0.061* | |
PaCO2 (mmHg) | HES | 28.1 ± 3.2 | 24.3 ± 3.8# | 26.1 ± 4.6# | 28.4 ± 4.4#† | 29.9 ± 3.1#† | 30.8 ± 4.5† |
RF | 33.8 ± 5.3 | 33.9 ± 7.4 | 39.1 ± 6.8† | 38.6 ± 6.8† | 39.4 ± 6.6† | 38.3 ± 6.0† | |
PaO2 (mmHg) | HES | 87.5 ± 12.2† | 102.8 ± 11.0* | 100.4 ± 9.6* | 95.8 ± 8.7 | 90.3 ± 13.0† | 84.5 ± 14.6† |
RF | 99.0 ± 24.7 | 102.0 ± 25.7 | 96.7 ± 27.8† | 99.2 ± 29.3 | 94.9 ± 27.5 | 99.6 ± 30.9 | |
HCO− 3 (mmol/l) | HES | 27.6 ± 2.3† | 24.4 ± 1.8* | 23.0 ± 1.5#* | 23.1 ± 2.0* | 23.5 ± 1.2#* | 24.4 ± 1.7#* |
RF | 28.1 ± 1.4 | 25.5 ± 4.0 | 26.3 ± 3.3 | 26.6 ± 3.6 | 27.5 ± 2.7† | 27.7 ± 2.5† | |
SaO2 (%) | HES | 97.8 ± 0.4 | 98.4 ± 0.3 | 98.2 ± 0.3 | 98 ± 0.4 | 97.7 ± 0.5 | 97.7 ± 0.4 |
RF | 97.8 ± 1.2 | 97.8 ± 1.1 | 96.5 ± 2.7† | 96.9 ± 2.4 | 96.8 ± 2.2† | 96.8 ± 2.6 | |
Lactate (mmol/L) | HES | 3.8 ± 2.0† | 6.9 ± 3.7* | 8.1 ± 3.0#*† | 7.6 ± 2.2#* | 7.1 ± 2.0#* | 5.5 ± 1.9#*† |
RF | 2.1 ± 0.8† | 4.3 ± 2.0* | 4.7 ± 2.0* | 4.2 ± 1.8* | 3.8 ± 1.7* | 3.3 ± 1.4* | |
Hct (%) | HES | 30.0 ± 4.8 | 26.7 ± 5.3 | 23.8 ± 5.2*† | 22.5 ± 4.5*† | 20.6 ± 3.5*† | 19.3 ± 3.9*† |
RF | 34.5 ± 4.6† | 30.5 ± 5.6* | 27.1 ± 4.5*† | 25.1 ± 3.9*† | 23 ± 2.6*† | 22.4 ± 3.1*† | |
Hb (g/dL) | HES | 9.8 ± 1.2 | 8.9 ± 1.4 | 8.1 ± 1.5*† | 7.7 ± 1.3*† | 7.1 ± 0.9*† | 6.7 ± 1.0*† |
RF | 10.9 ± 1.2 | 9.9 ± 1.6 | 9 ± 1.3*† | 8.4 ± 1.1*† | 7.7 ± 0.9*† | 7.7 ± 1.0*† | |
Ca++ (mmol/L) | HES | 0,87 ± 0,18 | 0,84 ± 0,23 | 0,84 ± 0,17 | 0,82 ± 0,24 | 0,84 ± 0,23 | 0,87 ± 0,29 |
RF | 0,93 ± 0,3 | 0,87 ± 0,2 | 0,94 ± 0,23 | 0,86 ± 0,25 | 0,91 ± 0,31 | 0,89 ± 0,27 | |
K+ (mmol/L) | HES | 2,48 ± 0,32 | 2,96 ± 0,49 | 3,04 ± 0,38* | 2,98 ± 0,29* | 2,9 ± 0,44 | 2,8 ± 0,48 |
RF | 2,84 ± 0,44 | 3,11 ± 0,33 | 3,33 ± 0,34*† | 3,24 ± 0,27 | 3,22 ± 0,32 | 3,2 ± 0,27 | |
Na+ (mmol/L) | HES | 139,9 ± 1,2 | 139,5 ± 1,2 | 140,7 ± 0,7† | 141,1 ± 1*† | 141,1 ± 0,9† | 141,2 ± 0,8† |
RF | 138,9 ± 3,2 | 138,8 ± 3,2 | 139,7 ± 3,1† | 139,8 ± 2,8† | 139 ± 4,3 | 140,3 ± 2,9*† | |
Cl− (mmol/L) | HES | 98 ± 1,9 | 98,7 ± 2,2 | 99,9 ± 1,7*† | 100,4 ± 1,3*† | 101,1 ± 1,8*† | 101,7 ± 1,5*† |
RF | 97,1 ± 2,4 | 98,1 ± 2,7 | 99,6 ± 2,7*† | 100,4 ± 2,3*† | 100,4 ± 2,4*† | 102 ± 2,9*† | |
Glucose (mmol/L) | HES | 8,1 ± 2,2 | 9,3 ± 3,5 | 6,8 ± 2,3† | 6 ± 1,8† | 6,4 ± 1† | 6,8 ± 0,8† |
RF | 9 ± 2,9 | 10,9 ± 3,3 | 7,6 ± 3,3† | 6,4 ± 2,9*† | 6,2 ± 1,9*† | 6,1 ± 1,4* | |
cv pH | HES | 7.578 ± 0.039# | 7.537 ± 0.07# | 7.516 ± 0.069# | 7.49 ± 0.047#*† | 7.476 ± 0.035*† | 7.495 ± 0.034* |
RF | 7.503 ± 0.049† | 7.416 ± 0.049* | 7.39 ± 0.047*† | 7.41 ± 0.05* | 7.427 ± 0.055* | 7.442 ± 0.051* | |
PcvCO2 (mmHg) | HES | 31.4 ± 2.7# | 30.3 ± 4.7# | 30.8 ± 5.3# | 31.7 ± 3.6# | 33.2 ± 3.7# | 33 ± 3.7# |
RF | 39.4 ± 7.6 | 43.2 ± 7.6 | 47.6 ± 6.9*† | 46.1 ± 7.1 | 44.3 ± 7.5 | 42.1 ± 6.6 | |
PcvO2 (mmHg) | HES | 46.7 ± 8.1† | 36.0 ± 9.9* | 40.7 ± 7.8*† | 44.5 ± 7.8† | 46.8 ± 5.2† | 45.4 ± 8.7† |
RF | 48.3 ± 7.2† | 34.9 ± 4.0* | 39.3 ± 4.1*† | 44.8 ± 3.3† | 46.2 ± 5.2† | 48.6 ± 6.7† | |
ScvO2 (%) | HES | 83.9 ± 7.3† | 69.1 ± 14.2* | 76.0 ± 9.9* | 79.7 ± 5.9*† | 82.6 ± 4.2† | 82.8 ± 4.8† |
RF | 83.5 ± 8.1† | 59.9 ± 6.6* | 65.7 ± 7.9* | 72.7 ± 7.4*† | 76.2 ± 6.4*† | 79.0 ± 8.1*† | |
Oxygen delivery index (mL/min/m2) | HES | 431.7 ± 83.9† | 203.5 ± 48.3* | 271.8 ± 55.7*† | 295.1 ± 59.8*† | 322.4 ± 60.7*† | 348.1 ± 57.7*† |
RF | 460.3 ± 43.0 | 251.9 ± 83.5* | 269.2 ± 70.6* | 282.0 ± 54.6* | 296.4 ± 44.8*† | 354.6 ± 61.6*† | |
Oxygen consumption (index mL/min/m2) |
HES | 58.6 ± 26.8 | 58.7 ± 27.6 | 62.3 ± 34.7 | 55.0 ± 21.8 | 49.7 ± 16.2 | 52.9 ± 20.5 |
RF | 65.2 ± 32.9† | 97.5 ± 36.9* | 85.3 ± 22.5* | 69.4 ± 16.5† | 63.4 ± 23.5† | 65.5 ± 31.0† | |
Oxygen extraction (%) | HES | 14.2 ± 7.2† | 29.8 ± 14.2* | 22.6 ± 9.9* | 18.6 ± 6.0† | 15.5 ± 4.5† | 15.2 ± 5.1† |
RF | 14.5 ± 8.2† | 38.8 ± 6.8* | 32.0 ± 7.1* | 25.0 ± 6.2*† | 21.3 ± 6.5*† | 18.4 ± 8.3*† | |
Venous to arterial carbon dioxide gap (mmHg) | HES | 3.3 ± 1.4† | 6.0 ± 2.8#* | 4.7 ± 2.0# | 3.3 ± 1.9#† | 3.3 ± 1.2† | 2.2 ± 1.2† |
RF | 5.6 ± 3.4† | 9.3 ± 1.6* | 8.5 ± 1.7*† | 7.5 ± 2.6 | 4.9 ± 2.0† | 3.8 ± 2.2*† |
Data are presented as mean ± standard deviation. HES = colloid group, RF = crystalloid group
*p < 0.05 significantly different from T bsl
† p < 0.05 significantly different from T 0
# p < 0.05 significantly different between groups