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Table 2 Intraoperative and postoperative management

From: Increased diaphragm echodensity correlates with postoperative pulmonary complications in patients after major abdominal surgery: a prospective observational study

Characteristics

All (n = 117)

Study group

P value

PPCs (n = 56)

Non-PPCs (n = 61)

Intraoperative management

 Type of intraoperative fluid, mean (SD), ml

  Crystalloid

1905.25 (1314.06)

1824.11 (1272.29)

1970.00 (1376.88)

0.554

  Colloid*

945.14 (607.14)

869.70 (482.01)

1008.97 (702.61)

0.339

 Blood transfusion

  CRCs, mean (SD), u

6.00 (4.15)

4.87 (3.23)

7.44 (4.90)

0.064

  Plasma, mean (SD), ml

823.44 (806.03)

563.89 (308.6)

1157.14 (1123.16)

0.040

Intraoperative blood loss, mean (SD), ml

414.15 (815.46)

348.57 (534.5)

479.51 (1017.79)

0.392

 Use of vasoactive drugs**

  Metaraminol, n (%)

64.00 (54.7)

32.00 (57.14)

32.00 (52.46)

0.374

   Total Dose, mg

0.63 (0.63)

0.71 (0.65)

0.55 (0.63)

0.323

  Ephedrine, n (%)

39.00 (33.33)

16.00 (28.57)

23.00 (37.70)

0.198

   Total Dose, mg

8.06 (6.68)

8.31 (8.46)

7.89 (5.51)

0.851

  Norepinephrine, n (%)

36.00 (30.77)

22.00 (39.29)

14.00 (22.95)

0.043

   Total Dose, mg

1.76 (2.11)

1.73 (1.88)

1.80 (2.56)

0.927

  Epinephrine, n (%)

4.00 (3.42)

1.00 (1.79)

3.00 (4.92)

0.342

   Total Dose, mg

101.05 (95.36)

3.00 (0.00)

133.73 (108.53)

0.406

 Use of opioids, mean (SD), µg**

  Remifentanil

1463.84 (809.02)

1534.51 (846.83)

1400.01 (781.54)

0.651

  Sufentanil

43.91 (22.76)

44.85 (21.93)

43.60 (24.48)

0.149

 Use of muscle relaxant, mean (SD), mg**

  Vecuronium bromide

6.06 (4.95)

3.65 (4.74)

7.67 (6.35)

0.507

  Rocuronium Bromide

82.96 (33.84)

77.25 (30.76)

99.29 (41.68)

0.851

  Atracurium

27.71 (20.44)

26.75 (20.67)

28.57 (20.56)

0.577

  Succinylcholine

76.79 (18.28)

76.88 (21.87)

76.67 (16.33)

0.985

 Intraoperative monitoring***

  pH

7.40 (0.10)

7.38 (0.13)

7.41 (0.04)

0.113

  PaO2, mmHg

220.76 (90.69)

208.75 (91.30)

232.31 (90.34)

0.329

  PaCO2, mmHg

37.42 (6.13)

37.40 (6.78)

37.45 (5.56)

0.962

  Lactate, mmol/L

1.56 (1.96)

1.62 (2.70)

1.29 (0.52)

0.388

Postoperative monitoring

    

 Fluid delivery postoperative day 1, mean (SD), ml

2031.97 (1098.29)

2000.27 (1105.54)

2061.07 (1109.06)

0.767

 ABG at ICU admission

    

  pH

7.35 (0.04)

7.38 (0.05)

7.36 (0.05)

0.024

  PaO2, mmHg

125.37 (29.74)

115.71 (39.97)

146.18 (36.18)

< 0.001

  PaCO2, mmHg

41.12 (4.95)

37.07 (6.31)

39.19 (6.07)

0.066

  Lactate, mmol/L

1.68 (0.42)

2.01 (1.55)

2.77 (2.28)

0.035

 ABG when the SBT ends

    

  pH

7.38 (0.05)

7.40 (0.05)

7.38 (0.05)

0.063

  PaO2, mmHg

112.60 (13.20)

112.82 (46.07)

145.86 (31.45)

< 0.001

  PaCO2, mmHg

41.95 (2.95)

38.82 (5.28)

38.81 (5.19)

0.986

 Blood routine examination at ICU admission

    

  WBC, 10^9/L

10.96 (4.66)

12.39 (5.85)

9.27 (4.42)

0.002

  Hemoglobin, mg/L

111.50 (4.57)

107.59 (31.79)

116.70 (19.81)

0.069

 Biochemical examination at ICU admission

    

  Serum albumin, g/L

33.28 (2.64)

32.39 (7.19)

35.21 (7.22)

0.037

  Serum creatinine, µmol/L

217.17 (325.87)

105.41 (141.33)

70.92 (39.27)

0.082

  CRP, mg/L

61.01 (99.48)

92.24 (107.8)

37.27 (70.45)

0.002

  PCT, ng/ml

1.39 (3.82)

2.16 (7.00)

0.53 (1.13)

0.090

Antibiotic delivery, n (%)***

    

 Imipenem

19.00 (16.24)

15.00 (26.79)

4.00 (6.56)

0.003

 Penicillins and 1st-2nd generation cephalosporins

74.00 (63.25)

28.00 (50)

46.00 (75.41)

0.004

 3rd generation cephalosporins/macrolides

15.00 (12.82)

11.00 (19.64)

4.00 (6.56)

0.034

 Tetracyclines

7.00 (5.98)

6.00 (10.71)

1.00 (1.64)

0.172

 Polypeptide antibiotic

8.00 (6.84)

7.00 (12.5)

1.00 (1.64)

0.027

  1. Abbreviations: PPCs, Postoperative Pulmonary Complications; non-PPCs, no Postoperative Pulmonary Complications; CRCs, red cell suspension; SBT, spontaneous breath trial; SD, Standard Deviation; ABG, Arterial Blood Gas Analysis; pH, hydrogen ion concentration; PaCO2, arterial carbon dioxide partial pressure; PaO2, arterial oxygen partial pressure; WBC, white blood cell; CRP, C-reactive protein; PCT, Procalcitonin
  2. * Red cell suspension and Plasma are not included in the colloidal solution
  3. ** All drugs were used intraoperatively. The total dose is the drug dose used throughout the procedure
  4. ***The first blood gas analysis during surgery
  5. **** All drugs were used in the ICU after surgery. The total dose is the total amount of drugs used by the patients during the ICU stay