Characteristics | Overall population (n = 33) | Fluid non-responders (n = 18) | Fluid Responders (n = 15) | p |
---|---|---|---|---|
Age (years) | 69 (63–78) | 68 (60–71) | 74 (66–78) | 0.14 |
Male gender | 23 (70%) | 12 (67%) | 11 (73%) | 0.72 |
SAPS II | 58 (49–65) | 56 (45–65) | 58 (54–62) | 0.47 |
Time between ARDS onset and inclusion (day) | 1 (0–3) | 1 (0–1) | 2 (1–6) | 0.03 |
ARDS category | 0.28 | |||
• moderate ARDS | 10 (30%) | 7 (39%) | 3 (20%) | |
• severe ARDS | 23 (70%) | 11 (61%) | 12 (80%) | |
ARDS risk factorsa | ||||
• pneumonia | 23 (72%) | 13 (72%) | 10 (67%) | 1 |
• non-pulmonary sepsis | 5 (15%) | 1 (6%) | 4 (27%) | 0.15 |
• aspiration of gastric content | 5 (15%) | 4 (22%) | 1 (7%) | 0.35 |
• other | 2 (6%) | 0 (0%) | 2 (13%) | 0.20 |
SOFA score | 11 (10–13) | 11 (9–13) | 12 (10–14) | 0.35 |
Midazolam dose (mg.kg-1.h-1) | 0.10 (0.06–0.13) | 0.09 (0.07–0.13) | 0.10 (0.06–0.12) | 0.90 |
Morphine dose (mg.kg-1.h-1) | 0.05 (0.04–0.07) | 0.04 (0.03–0.07) | 0.06 (0.04–0.08) | 0.36 |
ARDS adjunctive therapies | ||||
• NMBA administration | 30 (91%) | 16 (89%) | 14 (93%) | 1 |
• iNO administration | 4 (12%) | 2 (11%) | 2 (13%) | 1 |
• renal replacement therapy | 14 (42%) | 7 (39%) | 7 (47%) | 0.73 |
Clinician justification to administer intravascular fluidsb | ||||
• arterial lactate >2 mmol.L-1 | 23 (70%) | 13 (72%) | 10 (67%) | 1 |
• MAP <65 mm Hg | 17 (52%) | 12 (67%) | 5 (33%) | 0.08 |
• cardiac output decrease | 12 (36%) | 5 (28%) | 7 (47%) | 0.30 |
• urine output <0.5 ml.kg.h-1 | 11 (33%) | 5 (28%) | 6 (40%) | 0.49 |
• heart rate >100 min-1 | 11 (33%) | 5 (28%) | 6 (40%) | 0.49 |
• skin mottling | 10 (30%) | 5 (28%) | 5 (33%) | 1 |
• 1 of the above criteria | 7 (21%) | 4 (22%) | 3 (20%) | |
• > 1 of the above criteria | 26 (79%) | 14 (78%) | 12 (80%) | 1 |
Cause of circulatory failure | ||||
• septic shock | 29 (88%) | 15 (83%) | 14 (93%) | 0.61 |
• cardiogenic shock | 2 (6%) | 1 (6%) | 1 (7%) | 1 |
• other | 2 (6%) | 2 (11%) | 0 (0%) | 0.49 |
Cardiac arrhythmia | 1 | |||
• atrial fibrillation | 7 (21%) | 4 (22%) | 3 (20%) | |
• other | 7 (21%) | 4 (22%) | 3 (20%) | |
• none | 19 (58%) | 10 (56%) | 9 (60%) |