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Table 6 HRIM analysis before and after metoclopramide administration in critically ill patients

From: Characterization of esophageal motor activity, gastroesophageal reflux, and evaluation of prokinetic effectiveness in mechanically ventilated critically ill patients: a high-resolution impedance manometry study

Variable (unit)

Before metoclopramide

After metoclopramide

Total

LGV

HGV

Total

LGV

HGV

GRV during the study (mL)

30 (18–90)

15 (0–20)

90 (88–200)

15 (10–160)

10 (0–10)

160 (88–213)

Number of esophageal activities /hour

10 (6–17)

17 (11–26)

6 (4–8)

7 (5–13)*

11 (7–15)*

5 (4–9)

Distal contractile integral (mmHg cm s)

3852 (1700–7730)

7661 (1580–11,908)

3111 (1700–5068)

3004 (1900–8091)

5096 (1699–8916)

2805 (2081–4488)

Failed esophageal peristalsis (median of %)

73 (54–89)

62 (50–73)

85 (69–98)

80 (58–100)

68 (53–85)

94 (69–100)

Panesophageal pressurization (median of %)

64 (48–79)

62 (50–73)

69 (43–83)

74 (45–88)

68 (53–85)

80 (45–90)

Double-peaked waves (median of %)

30 (0–50)

48 (43–51)

0 (0–5)

0 (0–25)**

25 (8–35)*

0 (0–0)

Premature contraction (median of %)

20 (2–32)

31 (25–37)

2 (1–19)

10 (0–41)

33 (10–48)

0 (0–3)

Integrated relaxation pressure (mmHg)

16 (6–21)

20 (16–28)

6 (6–16)

14 (7–19)

17 (14–24)*

7 (6–10)

Intrabolus pressure (mmHg)

23 (17–28)

19 (16–27)

25 (19–30)

24 (20–27)

24 (21–26)

24 (19–29)

LES tone (mmHg)

18 (9–26)

25 (19–31)

9 (8–16)

18 (12–27)

23 (18–30)

12 (9–20)

EGJ-CI (mmHg cm)

40 (28–60)

53 (40–60)

30 (20–50)

33 (2–53)

43 (30–53)*

30 (26–44)

Inspiration EGJ pressure (mmHg)

36 (29–42)

40 (35–48)

34 (28–36)

42 (30–44)

40 (34–45)

42 (27–44)*

Expiration EGJ pressure (mmHg)

24 (19–33)

30 (22–35)

20 (19–25)

25 (23–32)

27 (24–32)

23 (21–29)*

Number of reflux episodes/patient/hour

1.8 (0.5–3.5)

3.3 (2–3.6)

0.8 (0.4–1.5)

2.4 (0.9–3.6)

2.9 (2.3–3.7)

1.1 (0.5–2.6)

  1. All values shown are median and interquartile range
  2. GRV gastric residual volume, LES lower esophageal sphincter, EGJ-CI esophagogastric junction contractile integral
  3. *The Mann–Whitney U test, p < 0,05