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Table 4 Hemodynamic effects of increasing inspiratory concentrations of inhaled NO in eight patients with ARDS and without septic shock

From: Inhaled nitric oxide in acute respiratory distress syndrome with and without septic shock requiring norepinephrine administration: a dose–response study

 

NO (ppm)

  
 

Control 1

0.15

0.45

1.5

4.5

15

45

150

Control 2

P value*

SPAP (mmHg)

45 ± 5

38 ± 5

37 ± 5

35 ± 4

36 ± 5

34 ± 5

33 ± 4

33 ± 4

43 ± 5

0.0001

DPAP (mmHg)

19 ± 2

17 ± 3

16 ± 2

15 ± 2

16 ± 2

15 ± 2

16 ± 2

15 ± 2

19 ± 2

0.0001

MPAP (mmHg)

29 ± 3

25 ± 3

24 ± 3

24 ± 3

24 ± 3

23 ± 3

23 ± 3

23 ± 3

28 ± 4

0.0001

PVRI (dyn s/cm5m2)

431 ± 105

383 ± 94

345 ± 90

340 ± 82

338 ± 85

321 ± 74

311 ± 83

305 ± 77

438 ± 122

0.0001

HR (beats/min)

94 ± 6

89 ± 6

88 ± 6

88 ± 7

90 ± 6

91 ± 6

88 ± 6

90 ± 6

90 ± 7

0.3188

CI (l/min/m2)

4.3 ± 0.5

4 ± 0.4

4.2 ± 0.5

4.1 ± 0.5

4.1 ± 0.5

4.3 ± 0.5

4.2 ± 0.5

4.2 ± 0.5

4.1 ± 0.5

0.8806

RVSWI (g/m2)

13 ± 1

11 ± 1

11 ± 1

11 ± 1

10 ± 1

10 ± 1

10 ± 1

10 ± 1

13 ± 1

0.0001

RAP (mmHg)

7 ± 2

7 ± 1

8 ± 2

7 ± 1

7 ± 2

7 ± 1

7 ± 2

7 ± 2

7 ± 2

0.8382

PCWP (mmHg)

9 ± 2

8 ± 1

8 ± 2

8 ± 1

9 ± 1

8 ± 1

9 ± 1

9 ± 2

9 ± 1

0.1125

MAP (mmHg)

84 ± 4

76 ± 6

79 ± 3

81 ± 4

86 ± 3

82 ± 3

83 ± 4

83 ± 5

81 ± 5

0.1603

SVRI (dyn s/cm5m2)

1589 ± 215

1432 ± 198

1499 ± 201

1601 ± 224

1720 ± 229

1563 ± 195

1653 ± 247

1651 ± 240

1631 ± 239

0.1339

  1. NO = nitric oxide; SPAP = systolic pulmonary arterial pressure; DPAP = diastolic pulmonary arterial pressure; MPAP = mean pulmonary arterial pressure; PVRI = pulmonary vascular resistance index; HR = heart rate; CI = cardiac index; RVSWI = right ventricular stroke work index; RAP = right atrial pressure; PCWP = pulmonary capillary wedge pressure; MAP = mean arterial pressure; SVRI = systemic vascular resistance index. Values are given as mean ± SEM.*P value for the one-way analysis of variance (dose–response curve).