Characteristics | Hypotension without preload dependence | Hypotension with preload dependence |
---|---|---|
(n = 48) | (n = 11) | |
Age | 70 [58–78] | 64 [59–69] |
Male gender | 38 (79 %) | 7 (64 %) |
SAPS II | 54 [37–60] | 49 [41–55]† |
Reasons for PiCCO® monitoring | ||
• Septic shock | 25 (52 %) | 8 (73 %) |
• Cardiogenic shock | 8 (17 %) | 2 (18 %) |
• Other | 15 (31 %) | 1 (9 %) |
Time between ICU admission and IHD session (day) | 18 [10–30] | 9 [6–15] |
SOFA score at the day of IHD session | 9 [7–11] | 10 [9–10] |
Mechanical ventilation at IHD session onset | 13 (27 %) | 8 (73 %)† |
Inotrope at IHD session onset | 1 (2 %) | 1 (9 %) |
Vasopressor at IHD session onset | 25 (52 %) | 7 (64 %) |
Vasopressor dose at IHD session onset (μg.kg-1.min-1) | 0.04 [0–0.19] | 0.01 [0–0.13] |
Heart rate at IHD session onset (min-1) | 88 [79–96] | 92 [83–108]† |
MAP at IHD session onset (mm Hg) | 70 [66–77] | 72 [72–80] |
CVP at IHD session onset (mm Hg) | 8 [5–11] | 8 [6–10] |
CI at IHD session onset (L.min-1.m-2) | 3.4 [2.8–3.9] | 3.6 [3.2–4.1] |
ISVR at IHD session onset (dyne.s.cm-5) | 1497 [1294–1711] | 1440 [1160–1636] |
EVLWI at IHD session onset (mL.kg-1 PBW) | 8.8 [6.5–12.7] | 10.9 [9.0–12.4] |
PVPI at IHD session onset | 1.5 [1.3–1.9] | 2.0 [1.6–2.0]† |
Preload dependence at IHD session onset | 3 (6 %) | 1 (9 %) |
Arterial lactates (mmol.L-1) | 1.3 [1.1–1.6] | 1.5 [1.4–1.9] |
Elevated lactates above upper laboratory limit (2.2 mmol.L-1) | 8 (17 %) | 1 (9 %) |
Duration of IHD sessions (min) | 240 [240–250] | 228 [228–240] |
Total fluid removal during IHD session (mL) | 2580 [1738–3400] | 2250[390–2990] |
Fluid removal during IHD session (mL.H-1) | 576 [411–748] | 562 [95–748] |
Dialyzer blood flow rate at IHD session onset (L.min-1) | 250 [250–271] | 250 [250–295] |
Dialysate flow at IHD session onset (mL.min-1) | 500 [500–700] | 700 [500–700] |
Dialysate temperature at IHD session onset (°C) | 36 [36–36] | 36 [36–36] |
Dialysate sodium concentration at IHD session onset (mmol.L-1) | 145 [144–149] | 150 [145–150]† |
Time between IHD session onset and hypotension (min) | 30 [14–94] | 60 [25–135] |
Cumulative fluid removal at time of hypotension (mL) | 265 [10–825] | 300 [70–1195] |