|  | 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) |