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Table 2 Hemodynamic and Respiratory Variables at Baseline, after the Tidal Volume Challenge, before Volume Expansion, and after Volume Expansion in Responders (n = 24) and Non-responders (n = 14)

From: The tidal volume challenge improves the reliability of dynamic preload indices during robot-assisted laparoscopic surgery in the Trendelenburg position with lung-protective ventilation

 

T1

Base 1

(VT 6 ml/kg)

T2

Increased VT

(VT 8 ml/kg)

P1 Value

T3

Base 2

(VT 6 ml/kg)

T4

After VE

(VT 6 ml/kg)

P2 Value

HR (beats/min)

 Responders

74 (68–86)

74 (68–85)

0.492

75 (69–85)

73 (66–82)

0.012

 Non-responders

68 (65–77)

68 (65–77)

> 0.99

68 (63–75)

68 (64–77)

> 0.99

MAP (mm Hg)

 Responders

82 ± 10

79 ± 12

0.036

80 ± 13

85 ± 11

0.078

 Non-responders

91 ± 13

89 ± 11

> 0.99

87 ± 11

87 ± 10

> 0.99

PIP (cm H2O)

 Responders

26 ± 3

31 ± 4

< 0.001

26 ± 3

27 ± 3

< 0.001

 Non-responders

25 ± 3

30 ± 4

0.006

25 ± 3

26 ± 3

0.016

Crs (ml/cmH2O)

 Responders

17 (14.3–19)

17 (15–19)

0.018

16 (14–19)

15.5 (14–18)

< 0.001

 Non-responders

16.5 (13.8–18.3)

17 (14.8–18.3)

0.066

16 (13.8–17.3)

15 (13–17)

0.024

SVI (ml/min2)

 Responders

41.5 ± 8.2

40.6 ± 8.9

> 0.99

40.2 ± 9.0

50.6 ± 10.9

< 0.001

 Non-responders

50.5 ± 15.2

52.2 ± 15.3

0.864

52 ± 15.7

55.2 ± 16.8

0.018

PPV (%)

 Responders

7 (5.3–8.8)

9 (8–13)*

< 0.001

7.5 (5.3–9.8)*

3.5 (3–5)

< 0.001

 Non-responders

5.5 (3.8–6.5)

6 (3.8–7.3)

0.132

5 (3.8–6)

3 (1.8–3.8)

0.006

SVV (%)

 Responders

5 (4–6)

6.5 (4–9)*

< 0.001

6 (4–7)*

4 (3–5)

0.042

 Non-responders

5 (2.8–5)

4 (3–5.3)

> 0.99

4 (2.8–5)

4 (2.8–5)

> 0.99

  1. HR Heart rate, RR Respiratory rate, MAP Mean arterial pressure, PIP Peak inspiratory pressure, Crs Respiratory compliance, SVI Stroke volume index, PPV Pulse pressure variation, SVV Stroke volume variation, VT Challenge tidal volume challenge, VE Volume expansion
  2. Data are mean ± SD or median (IQR). Patients were considered responders if the stroke volume index increased by at least 15% after volume expansion (6% hydroxyethyl starch 6 ml/kg for 10 min)
  3. *P < 0.05 comparison between responders and non-responders (n = 14) at each time point; P1-values are for intragroup comparisons of values before (T1) and after the tidal volume challenge (T2); P2-values are for intragroup comparisons of values before (T3) and after volume expansion (T4); P-values were adjusted using the Bonferroni correction