Table 2.
Hemodynamic responses throughout fentanyl vs. placebo administration
Time Points |
P Values |
||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
T1: Pre-LBNP (postinfusion) |
T2: −40 mmHg LBNP |
T3: −50 mmHgLBNP |
T4: End LBNP |
Interaction | Drug factor | Timing factor | |||||
FEN | PBO | FEN | PBO | FEN | PBO | FEN | PBO | ||||
MCAv, cm/s | 64 ± 18 | 62 ± 14 | 61 ± 18 | 62 ± 14 | 58 ± 20 | 52 ± 15 | 43 ± 15 | 41 ± 10 | 0.1042 | 0.1681 | <0.0001 |
ScO2, % oxygen saturation | 59 ± 14 | 59 ± 12 | 59 ± 12 | 59 ± 11 | 59 ± 12 | 57 ± 12 | 55 ± 11 | 53 ± 12 | 0.5379 | 0.7800 | <0.0001 |
CRI (AU) | 0.91 ± 0.13 | 0.92 ± 0.04 | 0.70 ± 0.21 | 0.59 ± 0.22 | 0.43 ± 0.22 | 0.41 ± 0.20 | 0.31 ± 0.20 | 0.27 ± 0.17 | 0.0833 | 0.1666 | <0.0001 |
Plasma [E], pg/mL | 111 ± 71 | 86 ± 103 | 174 ± 208 | 119 ± 213 | 0.4667 | 0.1511 | 0.1299 | ||||
Plasma [NE], pg/mL | 425 ± 190 | 462 ± 207 | 811 ± 635 | 675 ± 563 | 0.1425 | 0.3854 | 0.0201 | ||||
Systolic blood pressure, mmHg | 127 ± 18 | 132 ± 13 | 116 ± 18 | 118 ± 14 | 113 ± 16 | 112 ± 12 | 75 ± 15 | 77 ± 12 | 0.1587 | 0.5846 | <0.0001 |
Diastolic blood pressure, mmHg | 71 ± 10 | 74 ± 6 | 70 ± 9 | 71 ± 5 | 70 ± 10 | 69 ± 5 | 49 ± 12 | 50 ± 8 | 0.1162 | 0.6032 | <0.0001 |
RR, breaths/min | 14 ± 4 | 15 ± 4 | 11 ± 3 | 12 ± 4 | 11 ± 4 | 13 ± 3 | 15 ± 5 | 16 ± 5 | 0.8946 | 0.0074 | <0.0001 |
End-tidal CO2, mmHg | 44 ± 5 | 44 ± 5 | 42 ± 7 | 41 ± 5 | 43 ± 8* | 39 ± 6 | 37 ± 10* | 31 ± 7 | <0.0001 | 0.0370 | <0.0001 |
Values are means ± SD. CRI, compensatory reserve index; [E], epinephrine concentration; FEN, fentanyl trial; MCAv, middle cerebral artery velocity; MSNA, muscle sympathetic nerve activity; [NE], norepinephrine concentration; PBO, placebo trial; RR, respiratory rate; ScO2, frontal cortex oxygen saturation. Mixed effects model used for statistical analysis. *Statistical differences in end-tidal CO2 compared with PBO with Holm–Bonferroni multiple comparisons post hoc testing, P < 0.05.