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Table 2 Effects of volume expansion (Upper Panel) and of the increase in norepinephrine (Lower Panel) on hemodynamic variables

From: Effect on capillary refill time of volume expansion and increase of the norepinephrine dose in patients with septic shock

 

Before intervention

After invention

p-value

Volume expansion

MAP–mmHg

70 [62–79]

82 [75–101]

 < 0.0001

DAP–mmHg

53 [47–62]

62 [56–73]

0.003

CVP–mmHg

7 [4–9]

10 [7–12]

 < 0.0001

CI–L/min/m2

2.57 [2.06–3.01]

2.91 [2.33–3.54]

0.0001

HR–beats/min

106 [86–118]

103 [81–115]

0.02

Blood temperature–°C

36.9 [36.0–37.6]

36.8 [35.7–37.3]

 < 0.0001

Arterial lactate–mmol/L

3.8 [2.3–4.8]

 

Norepinephrine

   

 Rate–µg/kg/min

0.74 [0.28–1.67]

 

 Delay between initiation and CRT–hour

21 [8–33]

 

CRT–sec

5.18 [3.24–7.44]

4.18 [2.77–5.94]

 < 0.0001

Increase in the norepinephrine dose

MAP–mmHg

66 [60–75]

85 [80–103]

 < 0.0001

DAP–mmHg

50 [45–60]

62 [58–76]

 < 0.0001

CVP–mmHg

9 [7–13]

12 [8–14]

0.048

CI–L/min/m2

2.88 [2.00–3.64]

2.94 [2.38–3.95]

 < 0.0001

HR–beats/min

87 [73–103]

87 [72–98]

0.59

Blood temperature–°C

37.0 [36.1–37.4]

36.9 [36.1–37.3]

0.62

Lactate–mmol/L

2.2 [1.8–3.1]

 

Norepinephrine

   

 Rate–µg/kg/min

0.23 [0.08–0.51]

0.42 [0.30–0.74]

 < 0.0001

 Delay between initiation and CRT–hour

58 [15–197]

 

CRT–s

2.73 [1.63–4.88]

2.34 [1.30–4.10]

0.008

  1. Values are presented as number (%) or median (interquartile range). p-values refer to the difference between before and after the intervention
  2. CI Cardiac index, CRS Compliance of the respiratory system, CRT Capillary refill time, CVP Central venous pressure, DAP Diastolic arterial pressure, HR Heart rate, MAP Mean arterial pressure