Table 2.
Hemodynamic changes measured by pressure recording analytical method.
| Variable | Group | Ti | T0 | T1 | T3 | T5 | T10 | T30 | Tdef | Tdef5 | p |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HR (bpm) | PCVG | 75 ± 9 | 79 ± 9 | 82 ± 8 | 75 ± 10 | 78 ± 8 | 77 ± 10 | 76 ± 8 | 80 ± 10 | 83 ± 9 | 0.093 |
| VC | 86 ± 14 | 80 ± 15 | 79 ± 13 | 78 ± 15 | 83 ± 10 | 86 ± 13 | 85 ± 14 | 82 ± 9 | 81 ± 10 | ||
| MAP (mmHg) | PCVG | 77 ± 13 | 78 ± 8 | 77 ± 11 | 78 ± 11 | 76 ± 11 | 77 ± 11 | 78 ± 11 | 76 ± 10 | 76 ± 11 | 0.916 |
| VC | 77 ± 16 | 78 ± 14 | 76 ± 14 | 74 ± 12 | 74 ± 11 | 77 ± 13 | 78 ± 11 | 75 ± 13 | 77 ± 18 | ||
| SVRI dyne.s.m-2.cm-5 |
PCVG | 2687 ± 288 | 2484 ± 244 | 2548 ± 364 | 2530 ± 246a | 2454 ± 184a | 2566 ± 172 | 2464 ± 245b | 2499 ± 246 | 2506 ± 257 | 0.317 |
| VC | 2669 ± 418 | 2675 ± 417 | 2799 ± 541 | 2852 ± 453 | 2770 ± 474 | 2784 ± 597 | 2668 ± 316 | 2558 ± 349 | 2542 ± 527 | ||
| SVI mL.m-2 |
PCVG | 35 ± 9 | 34.2 ± 7.5a | 38.2 ± 7.8 | 37.6 ± 5.9 | 34.1 ± 7.7 | 37.3 ± 9.7 | 38.9 ± 7.9 | 39.3 ± 7.7a | 37.5 ± 8.6 | 0.438 |
| VC | 30.7 ± 10 | 24.6 ± 5.8b | 31.3 ± 7.1c | 32.4 ± 9.2c | 32.8 ± 8.8c | 33.7 ± 8.9c | 34.7 ± 9.1c | 30.1 ± 8.5c | 32.2 ± 8.3c | ||
| CI L.min-1.m-2 |
PCVG | 2.56 ± 0.32 | 2.61 ± 0.22 | 2.77 ± 0.30 | 2.75 ± 0.28 | 2.79 ± 0.31 | 2.65 ± 0.26 | 2.69 ± 0.29 | 2.60 ± 0.28 | 2.65 ± 0.21 | 0.025 |
| VC | 2.73 ± 0.48 | 2.86 ± 0.51 | 2.58 ± 0.45 | 2.55 ± 0.54 | 2.62 ± 0.46 | 2.92 ± 0.69 | 2.88 ± 0.49 | 2.64 ± 0.43 | 2.80 ± 0.57 | ||
| SVV (%) | PCVG | 24 ± 21 | 23 ± 23 | 23 ± 17 | 17 ± 8 | 18 ± 9 | 19 ± 12 | 21 ± 18 | 19 ± 10 | 19 ± 15 | 0.144 |
| VC | 23 ± 9 | 21 ± 9b | 18 ± 8b | 20 ± 8 | 23 ± 19 | 32 ± 25 | 22 ± 11 | 20 ± 6 | 18 ± 7b | ||
| dP/dt mmHg.s-1 |
PCVG | 0.57 ± 0.24 | 0.55 ± 0.37 | 0.49 ± 0.34 | 0.62 ± 0.28 | 0.62 ± 0.27 | 0.72 ± 0.25c | 0.60 ± 0.35 | 0.60 ± 0.32 | 0.68 ± 0.33 | 0.347 |
| VC | 0.51 ± 0.28 | 0.35 ± 0.27 | 0.57 ± 0.35 | 0.58 ± 0.28c | 0.48 ± 0.34 | 0.61 ± 0.29c | 0.54 ± 0.29 | 0.73 ± 0.26b, c | 0.62 ± 0.26c | ||
| CCE | PCVG | 0.154 ± 0.79 | 0.171 ± 0.83 | 0.169 ± 0.72 | 0.169 ± 0.71 | 0.072 ± 0.66 | 0.084 ± 0.69 | 0.164 ± 0.81 | 0.265 ± 0.43 | 0.305 ± 0.48 | 0.554 |
| VC | 0.039 ± 0.56 | -0.131 ± 0.59 | 0.010 ± 0.52 | -0.117 ± 0.66 | -0.104 ± 0.47 | 0.140 ± 0.46 | -0.081 ± 0.38 | 0.238 ± 0.49 | -0.041 ± 0.55 |
Data are expressed as mean ± SD.
Hemodynamic data were measured at anesthesia induction (Ti), at peritoneal insufflation (T0), 1 (T1), 3 (T3), 5 (T5), 10 (T10), and 30 (T30) minutes after CO2 pneumoperitoneum, at desufflation (Tdef) and at termination of pneumoperitoneum (5 minutes after desufflation) (T5def).
HR, Heart Rate; MAP, Mean Arterial Pressure; SVRI, Systemic Vascular Resistance Index; SVI, Stroke Volume Index; CI, Cardiac Index; SVV, Stroke Volume Variation; dP/dt, Aortic pressure variation over time; CCE, Cardiac Cycle Efficiency.
Comparison between the study groups was done using Student t-test for independent samples while within group comparison between the different time points was done using paired sample t-test. Comparison of the different variables over the study time points was done using repeated measure analysis of variance through General Linear Model regression analysis with repeated measure and the paired t-test was done as a post hoc test and are given in the right column of the table. p < 0.05 was considered statistically significant.
p < 0.05 between groups at the same time points.
p < 0.05 compared with anesthesia induction (Ti).
p < 0.05 compared with peritoneal insufflation (T0).