Background
Methods
Patients
Anaesthesia and monitoring
Measurement of ScvO2
Interventions and protocol
Statistics
Ethics
Results
ScvO2 (n = 38) | Control (n = 41) |
p
| |
---|---|---|---|
Age (years) | 62 ± 8 | 62 ± 8 | 0.95 |
Sex (M/F) | 28/10 | 29/12 | 0.77 |
APACHE II | 12 ± 4 | 11 ± 5 | 0.37 |
ICU LOS (days) | 3 (2) | 3 (2) | 0.663 |
Length of operation (min) | 247 ± 82 | 254 ± 45 | 0.76 |
Oesophagectomy (number of patients) | 4 | 2 | |
Total gastrectomy (number of patients) | 3 | 0 | |
Cystectomy (number of patients) | 22 | 29 | |
Aortobifemoral bypass (number of patients) | 5 | 7 | |
Aortic aneurysm (number of patients) | 4 | 3 | |
ICU survival (S/NS) | 38/0 | 39/2 | 0.17 |
28 day survival (S/NS) | 37/1 | 33/8 | 0.018* |
ScvO2 (n = 38) | Control (n = 41) |
p
| |
---|---|---|---|
Crystalloid (ml/h) | 1126 ± 471 | 1049 ± 431 | 0.46 |
Colloid (ml/h) | 279 (161) | 107 (250) | <0.001* |
Number of patients needing vasopressor | 11 | 15 | 0.47 |
Dose of vasopressor (mcg/h) | 37 (107) | 18 (73) | 0.84 |
Number of patients receiving blood transfusion | 24 | 15 | 0.02* |
Blood loss during the operation (ml) | 973 ± 473 | 983 ± 574 | 0.99 |
ScvO2 (n = 38) | Control (n = 41) |
p
| ||
---|---|---|---|---|
Infection | Respiratory | 0 | 1 | 0.33 |
Abdominal | 2 | 2 | 0.94 | |
Urinary tract | 0 | 1 | 0.33 | |
Wound | 0 | 0 | - | |
Mechanical ventilation > 24 h | 1 | 5 | 0.11 | |
Circulation | Cardiac decompensation | 0 | 0 | - |
Arrhythmia | 1 | 4 | 0.19 | |
Vasopressor need | 9 | 14 | 0.31 | |
Acute myocardial infarction | 0 | 0 | - | |
Stroke | 0 | 0 | - | |
Abdominal | Constipation | 2 | 3 | 0.71 |
Upper gastrointestinal bleeding | 0 | 1 | 0.33 | |
Re-operation | 1 | 2 | 0.60 | |
Urine output < 500 ml/24 h or haemodialysis | 1 | 3 | 0.34 | |
Postoperative surgical bleeding | 1 | 1 | 0.96 | |
Perioperative deaths | 0 | 1 | 0.33 | |
Number of patients with complications | 10 | 19 | 0.07 | |
PaO2/FiO2 | >300 Hgmm | 4 | 3 | 0.62 |
200–300 Hgmm | 24 | 15 | 0.02* | |
100–200 Hgmm | 10 | 22 | 0.01* | |
<100 Hgmm | 0 | 1 | 0.52 | |
Acute kidney injury | no injury | 27 | 29 | 0.59 |
KDIGO 1 | 7 | 10 | 0.36 | |
KDIGO 2 | 3 | 1 | 0.28 | |
KDIGO 3 | 1 | 1 | 0.73 |