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Table 2 Summary of the recorded and measured parameters during the induction of endotoxemia in the ADVOS and control groups. Median (IQR)

From: Evaluation of an ADVanced Organ Support (ADVOS) system in a two-hit porcine model of liver failure plus endotoxemia

  

T0

T2

T4

T6a

T8

T10

 

Parameter

Control (n = 5)

ADVOS (n = 5)

Control (n = 5)

ADVOS (n = 5)

Control (n = 5)

ADVOS (n = 5)

Control (n = 5)

ADVOS (n = 5)

ADVOS (n = 5)

ADVOS (n = 5)

Cardiovascular system

MAP (mmHg)

65 (64–65)

69 (66–78)

59 (56–61)

70 (66–71)

59 (53–60)

62 (59–62)

52 (51–53)

61 (56–66)*

68 (61–76)

66 (61–73)

CVP (mmHg)

3 (2–3)

3 (3–6)

4 (2–4)

3 (2–8)

6 (4–7)

4 (3–9)

7 (6–8)

5 (4–8)

3 (3–4)

4 (3–6)

Systole (mmHg)

101 (96–108)

101 (95–105)

103 (102–106)

103 (100–104)

100 (97–111)

95 (92–95)

102 (88–103)

97 (94–98)

109 (101–114)

108 (101–121)

Diastole (mmHg)

52 (49–61)

57 (50–64)

41 (39–50)

55 (48–55)

41 (40–41)

42 (42–45)

36 (31–41)

44 (37–51)*

43 (42–58)

44 (38–50)

Heart rate (beats/min)

76 (76–81)

73 (69–79)

115 (110–117)

103 (97–103)

120 (115–129)

99 (98–104)

122 (118–140)

109 (102–114)

118 (117–130)

135 (125–147)

Cardiac index (l/min/m2)

5.4 (5.4–6.1)

4.6 (4.2–4.9)

6.8 (6.1–7.8)

5.2 (4.5–5.9)

5.8 (4.0–6.7)

5.9 (5.1–6.2)

4.9 (3.6–5.5)

6.7 (6.1–7.3)*

7.5 (5.3–7.7)

7.0 (6.6–7.5)

Temperature (°C)

37.8 (37.1–38.0)

38.1 (37.5–38.3)

38.0 (37.2–38.4)

38.3 (37.9–38.4)

37.7 (37.2–38.4)

37.7 (37.2–38.7)

38.0 (37.9–38.5)

37.9 (37.8–38.5)

38.2 (38.0–38.4)

38.4 (37.9–39.0)

SVRI (dyn.s.m2.cm−5)

933 (726–941)

1267 (1242–1340)

618 (597–909)

1186 (1122–1249)

685 (639–1001)

868 (691–1019)

830 (764–982)

681 (670–751)

717 (711–907)

716 (676–770)

GEDI (ml/m2)

767 (641–989)

647 (594–698)

652 (551–775)

621 (553–646)

732 (566–749)

809 (671–859)

703 (674–719)

853 (700–976)

859 (653–870)

688 (659–728)

ITBI (ml/m2)

959 (801–1236)

809 (742–872)

815 (689–968)

776 (691–808)

915 (707–937)

1011 (838–1073)

879 (842–899)

1066 (875–1220)

1073 (816–1087)

860 (824–911)

ELWI (ml/kg)

10 (10–13)

8 (8–8)

10 (10–11)

9 (9–9)

11 (10–16)

8 (8–9)

15 (11–22)

9 (9–11)*

11 (10–11)

12 (12–12)

PVPI

2.4 (2.1–3.0)

2.1 (2.0–2.1)

2.7 (2.6–3.0)

2.5 (2.5–2.8)

3.1 (2.9–3.6)

1.8 (1.6–2.2)

3.7 (3.2–5.1)

2.0 (1.9–2.2)*

2.2 (2.0–3.0)

2.9 (2.9–3.1)

CPI (W/m2)

0.80 (0.77–0.86)

0.66 (0.64–0.90)

0.89 (0.79–0.95)

0.75 (0.66–0.92)

0.59 (0.51–0.81)

0.77 (0.76–0.79)

0.41 (0.35–0.72)

0.83 (0.71–1.08)*

1.03 (0.65–1.39)

1.02 (0.91–1.18)

Respiratory system

Arterial pCO2 (mmHg)

41 (38–45)

42 (41–42)

48 (45–48)

44 (44–44)

51 (46–52)

45 (44–48)

61 (61–63)

50 (50–52)

47 (42–50)

56 (40–58)

PaO2 (mmHg)

100 (99–102)

128 (112–129)

117 (108–129)

106 (101–109)

94 (85–97)

85 (84–88)

74 (63–96)

83 (79–87)

68 (64–88)

71 (69–75)

FiO2 (%)

31 (28–34)

31 (30–32)

35 (34–37)

32 (30–34)

41 (39–50)

34 (34–40)

82 (81–87)

49 (44–50)*

51 (47–64)

56 (48–64)

PaO2/FiO2 (mmHg)

332 (312–346)

375 (359–412)

329 (303–348)

314 (303–321)

193 (164–223)

251 (209–266)

105 (77–128)

174 (170–180)

136 (100–172)

130 (118–145)

Respiratory rate

17 (17–18)

14 (14–16)

20 (19–20)

16 (16–18)

25 (23–27)

18 (17–20)

35 (32–35)

20 (19–22)*

23 (23–27)

25 (21–28)

PEEP (mbar)

1 (1–1)

1 (1–1)

3 (2–4)

0 (0–1)

4 (2–7)

2 (1–4)

15 (14–17)

1 (1–5)*

2 (0–3)

5 (2–7)

Inspiratory plateau pressure (cmH2O)

18 (15–19)

15 (15–16)

20 (18–21)

18 (18–20)

25 (25–30)

22 (21–28)

34 (33–36)

27 (25–30)

27 (27–28)

32 (31–33)

SPO2 (%)

99 (98–99)

99 (98–99)

98 (98–99)

98 (98–99)

98 (94–98)

97 (97–97)

92 (76–97)

97 (93–98)

92 (87–95)

91 (89–92)

End tidal CO2 (mmHg)

43 (41–45)

42 (41–44)

45 (44–47)

42 (42–44)

45 (43–47)

43 (41–45)

42 (12–46)

44 (40–46)

41 (35–42)

47 (42–49)

Tidal volume (ml)

510 (495–525)

500 (500–500)

505 (495–513)

500 (500–500)

465 (460–478)

490 (480–500)

380 (368–413)

480 (440–480)

460 (440–480)

460 (428–485)

Blood pH

7.53 (7.50–7.55)

7.49 (7.45–7.50)

7.46 (7.42–7.48)

7.42 (7.41–7.43)

7.39 (7.37–7.43)

7.42 (7.39–7.43)

7.28 (7.21–7.34)

7.39 (7.39–7.40)*

7.44 (7.38–7.44)

7.35 (7.33–7.43)

Arterial HCO3 − (mmol/l)

32.5 (30.8–34.3)

30.6 (28.4–32.3)

31.4 (31.2–33.1)

27.8 (27.3–28.6)

29.8 (28.6–30.7)

28.1 (27.9–28.2)

27.6 (27.4–30.6)

30.5 (29.5–30.5)

29.0 (28.2–29.3)

28.2 (27.4–28.7)

Base excess (mmol/l)

9.4 (6.9–9.5)

6.7 (4.0–7.4)

6.6 (5.8–8.8)

2.9 (2.3–3.8)

3.9 (1.1–6.1)

2.9 (2.3–3.0)

−0.4 (−3.0 to 5.3)

4.3 (3.7–4.6)

3.6 (3.5–3.8)

1.9 (1.2–3.3)

CNS

ICP (mmHg)

11.3 (8.2–11.5)

11.6 (9.6–12.5)

12.4 (12.4–15.6)

12.2 (10.7–13.5)

18.1 (15.4–20.9)

14.9 (13.0–16.1)

15.8 (13.4–17.8)

14.9 (12.1–16.1)

11.3 (11.0–14.7)

15.8 (14.0–17.4)

CPP (mmHg)

55.6 (51.0–57.5)

57.0 (53.0–70.0)

48.0 (41.0–52.0)

56.0 (55.4–58.0)

43.2 (36.0–44.0)

46.0 (45.0–47.0)

21.0 (−0.8 to 28.0)

47.0 (41.0–50.0)*

55.0 (47.0–58.0)

52.5 (45.6–59.5)

Intracranial temperature (°C)

38.1 (37.2–38.1)

37.7 (37.4–38.0)

38.0 (37.7–38.8)

37.9 (37.8–38.3)

38.3 (37.5–38.6)

37.4 (37.5–38.2)

38.7 (37.6–38.0)

37.5 (37.5–38.2)

37.6 (37.6–38.0)

38.3 (38.0–38.7)

Liver

Total bilirubin (mg/dl)

5.1 (4.1–5.2)

4.7 (4.0–5.7)

5.3 (4.5–6.0)

4.8 (4.8–6.0)

5.2 (4.9–5.6)

2.7 (2.4–3.4)

5.5 (4.6–5.6)

2.3 (2.3–3.0)*

2.2 (2.0–3.3)

2.5 (2.5–3.5)

Lactate (mmol/l)

1.5 (1.4–1.6)

1.1 (0.9–1.7)

2.3 (2.0–2.4)

2.1 (2.0–2.8)

4.8 (3.7–5.6)

3.7 (3.5–3.9)

8.3 (7.9–8.6)

4.2 (3.5–4.2)*

5.4 (4.0–5.7)

5.8 (3.9–7.4)

Ammonia (μg/dl)

264 (239–420)

167 (148–215)

305 (191–595)

152 (139–206)

374 (292–555)

161 (148–188)

681 (595–851)

194 (187–196)*

187 (167–228)

255 (170–313)

Alkaline phosphatase (U/l)

228 (209–236)

246 (235–254)

280 (247–334)

274 (252–298)

322 (276–393)

262 (237–271)

307 (260–393)

230 (223–266)

251 (234–266)

253 (244–277)

GPT (U/l)

52 (34–58)

46 (36–47)

46 (31–53)

43 (33–44)

41 (36–47)

34 (28–35)

35 (21–39)

31 (30–33)

33 (26–34)

35 (29–37)

GOT (U/l)

98 (75–144)

56 (48–57)

75 (62–167)

45 (42–51)

85 (67–1449

39 (38–49)

97 (75–101)

51 (49–70)*

72 (67–97)

104 (86–113)

LDH (U/l)

672 (564–871)

597 (518–611)

559 (482–735)

518 (457–563)

524 (473–1051)

371 (358–486)

743 (601–795)

420 (401–548)*

503 (502–663)

642 (631–719)

Total protein (g/dl)

5.5 (5.4–5.7)

5.5 (5.4–5.7)

5.1 (4.9–5.4)

5.3 (5.2–5.4)

4.6 (4.5–4.7)

4.4 (4.3–4.4)

4.1 (4.1–4.4)

4.0 (4.0–4.4)

4.2 (4.1–4.2)

4.1 (4.0–4.1)

Kidney

Creatinine (mg/dl)

1.4 (1.4–1.5)

1.6 (1.4–1.7)

1.4 (1.4–1.5)

1.5 (1.5–1.6)

2.0 (1.7–3.0)

1.3 (1.2–1.7)

2.3 (2.1–3.3)

1.4 (1.1–1.7)*

1.4 (1.1–1.8)

1.7 (1.3–1.9)

BUN (mg/dl)

15 (14–15)

11 (9–12)

16 (14–17)

12 (10–13)

16 (13–23)

8 (6–11)

17 (14–20)

6 (5–9)*

5 (4–7)

5 (4–6)

Infused fluids (ml/h)

286 (285–326)

562 (403–604)

1116 (510–1407)

479 (355–700)

970 (295–1702)

553 (463–910)

385 (310–457)

441 (422–472)

375 (331–388)

265 (155–370)

Urine output (ml/h)

100 (34–150)

130 (110–170)

64 (50–100)

65 (60–75)

40 (40–45)

50 (40–60)

35 (22–40)

60 (45–65)*

50 (36–50)

50 (40–50)

Coagulation and hematology

Quick value (%)

103 (88–112)

87 (86–88)

107 (105–109)

100 (93–102)

98 (88–103)

82 (77–85)

84 (70–91)

83 (72–86)

82 (76–85)

79 (71–79)

INR

1.0 (0.9–1.1)

1.1 (1.1–1.1)

1.0 (0.9–1.0)

1.0 (1.0–1.0)

1.1 (1.0–1.1)

1.1 (1.1–1.2)

1.1 (1.1–1.2)

1.1 (1.1–1.2)

1.1 (1.1–1.2)

1.2 (1.2–1.2)

Fibrinogen (mg/dl)

662 (534–794)

725 (668–756)

623 (615–708)

663 (651–681)

479 (414–532)

579 (553–596)

533 (492–594)

558 (502–572)

506 (456–574)

540 (446–612)

Platelet count (103/μl)

504 (333–541)

367 (356–428)

216 (195–286)

234 (226–308)

140 (125–141)

170 (134–180)

131 (30–138)

144 (93–150)

116 (85–143)

113 (83–133)

Hemoglobin (g/dl)

10.5 (10.3–10.8)

9.9 (9.9–11.1)

11.6 (11.4–12.1)

12.2 (11.7–12.6)

12.0 (11.4–12.2)

10.8 (10.5–11.0)

12.9 (12.4–12.9)

10.5 (9.8–11.7)

10.4 (10.3–11.7)

11.5 (10.7–11.8)

Hematocrit (%)

33 (32–35)

33 (32–37)

38 (37–39)

40 (38–42)

39 (37–40)

36 (34–39)

43 (42–46)

36 (33–41)

35 (34–39)

38 (36–39)

White blood cells (103/μl)

15.2 (14.5–17.6)

18.3 (18.2–20.1)

3.0 (2.8–3.1)

3.1 (2.6–3.1)

1.0 (1.0–1.0)

1.2 (1.0–1.4)

1.9 (0.8–2.0)

0.7 (0.7–0.8)

1.3 (1.1–1.4)

3.1 (2.8–3.8)

Laboratory values

Na+ (mmol/l)

138 (138–139)

139 (139–140)

139 (138–142)

138 (138–139)

138 (138–140)

138 (137–140)

138 (137–139)

140 (138–140)

139 (138–141)

138 (137–139)

K+ (mmol/l)

3.7 (3.5–3.9)

4.5 (4.0–4.5)

3.7 (3.4–3.7)

3.9 (3.7–4.2)

3.5 (3.4–4.0)

3.3 (3.3–3.5)

4.5 (4.1–4.8)

3.6 (3.5–3.9)*

3.7 (3.6–3.7)

4.5 (4.2–4.6)

Total calcium (mg/dl)

2.53 (2.39–2.62)

2.62 (2.59–2.73)

2.4 (2.35–2.41)

2.57 (2.54–2.70)

2.44 (2.35–2.54)

2.47 (2.42–2.50)

2.38 (2.32–2.54)

2.28 (2.27–2.40)

2.30 (2.28–2.37)

2.23 (2.13–2.31)

Ionized calcium (mmol/l)

1.27 (1.24–1.31)

1.40 (1.30–1.41)

1.32 (1.27–1.33)

1.42 (1.32–1.43)

1.31 (1.30–1.35)

1.36 (1.36–1.39)

1.29 (1.26–1.31)

1.31 (1.30–1.33)

1.31 (1.26–1.34)

1.24 (1.18–1.26)

Chloride ion (mmol/l)

102 (99–102)

104 (100–104)

101 (100–102)

104 (101–104)

101 (99–102)

104 (102–104)

101 (99–101)

104 (103–105)

103 (102–105)

102 (101–103

Anion gap (mmol/l)

11.6 (9.0–11.9)

9.2 (8.8–13.0)

10.6 (10.1–12.8)

12.0 (11.7–12.1)

12.5 (11.4–13.3)

10.3 (9.3–11.6)

15.8 (15.6–16.3)

9.9 (8.5–10.3)

10.4 (9.7–12.6)

12.7 (9.1–14.3)

Glucose (mg/dl)

100 (98–104)

105 (105–110)

106 (97–115)

103 (100–109)

138 (130–151)

122 (120–142)

153 (137–212)

129 (119–135)

126 (106–138)

138 (123–161)

Phosphate (mg/dl)

8.2 (8.0–9.9)

8.2 (7.5–8.7)

9.2 (7.9–9.8)

8.4 (7.9–9.1)

8.6 (7.7–9.4)

7.2 (6.8–7.3)

8.6 (8.1–10.5)

7.1 (6.6–7.5)*

7.5 (6.7–7.6)

8.1 (7.7–8.3)

Magnesium (mmol/l)

0.93 (0.80–0.93)

0.82 (0.78–0.89)

0.82 (0.79–0.89)

0.77 (0.75–0.84)

0.81 (0.79–0.83)

0.84 (0.81–0.92)

0.96 (0.89–0.99)

0.92 (0.86–0.96)

0.99 (0.88–1.00)

1.00 (0.91–1.01)

Osmolality (mosmol/kg)

289 (289–292)

292 (289–293)

290 (288–293)

290 (288–290)

291 (289–292)

292 (286–293)

298 (295–301)

293 (287–294)

293 (292–293)

295 (290–295)

Albumin (g/dl)

2.7 (2.7–2.8)

2.7 (2.6–2.9)

2.5 (2.5–2.5)

2.6 (2.4–2.6)

2.2 (2.1–2.3)

2.1 (2.0–2.2)

2.0 (1.8–2.1)

1.9 (1.9–2.0)

2.0 (2.0–2.0)

1.9 (1.7–2.1)

Alpha1-globulin (g/dl)

1.1 (0.9–1.1)

1.1 (1.0–1.1)

1.0 (1.0–1.0)

1.0 (1.0–1.0)

0.9 (0.8–1.0)

0.8 (0.8–0.9)

0.9 (0.8–1.0)

0.7 (0.7–0.9)

0.8 (0.8–0.8)

0.8 (0.7–0.8)

Alpha2-globulin (g/dl)

0.3 (0.3–0.3)

0.4 (0.3–0.4)

0.2 (0.2–0.3)

0.3 (0.2–0.4)

0.3 (0.2–0.3)

0.2 (0.2–0.3)

0.2 (0.2–0.2)

0.2 (0.2–0.2)

0.2 (0.2–0.2)

0.2 (0.2–0.2)

Beta-globulin (g/dl)

0.6 (0.6–0.7)

0.6 (0.6–0.7)

0.6 (0.6–0.7)

0.6 (0.5–0.7)

0.6 (0.5–0.5)

0.5 (0.5–0.6)

0.5 (0.5–0.5)

0.5 (0.5–0.5)

0.5 (0.5–0.6)

0.5 (0.5–0.5)

Gamma-globulin (g/dl)

0.8 (0.7–0.9)

0.9 (0.9–0.9)

0.8 (0.6–0.8)

0.8 (0.8–0.8)

0.7 (0.6–0.8)

0.7 (0.7–0.7)

0.6 (0.5–0.7)

0.6 (0.6–0.7)

0.7 (0.6–0.7)

0.6 (0.6–0.7)

Anesthesia

Propofol infusion (ml/h)

38 (30–40)

45 (40–50)

38 (35–45)

45 (38–52)

40 (32–42)

35 (35–45)

38 (30–45)

32 (20–45)

35 (28–35)

38 (35–40)

Remifentanil infusion (ml/h)

0.5 (0.5–0.5)

0.2 (0.2–0.3)

0.3 (0.2–0.3)

0.2 (0.2–0.3)

0.3 (0.2–0.3)

0.3 (0.2–0.3)

0.2 (0.2–0.2)

0.2 (0.1–0.2)

0.2 (0.1–0.2)

0.2 (0.2–0.3)

  1. CNS central nervous system, MAP mean arterial pressure, CVP central venous pressure, SVRI systemic vascular resistance index, GEDI global end-diastolic volume index, ITBI intrathoracic blood volume index, ELWI extravascular lung water index, PVPI pulmonary vascular permeability index, CPI cardiac power index, PaO 2 arterial oxygen pressure, FiO 2 fraction of inspiratory oxygen, PEEP positive end-expiratory pressure, SpO 2 peripheral oxygen saturation, ICP intracranial pressure, CPP cerebral perfusion pressure, GPT glutamate-pyruvate transaminase, GOT glutamic oxaloacetic transaminase, LDH lactate dehydrogenase, BUN blood urea nitrogen, INR international normalized ratio
  2. *p < 0.05 (control vs. ADVOS)
  3. aThe statistical analysis to analyze differences between control and ADVOS groups was performed with the last available values of the whole study set at the closest time point to T6 (n = 10)