Clinical Study

A large Venous-Arterial PCO2 Is Associated with Poor Outcomes in Surgical Patients

Table 1

Patient characteristics and comparison between patients with [P(v-a) CO2] < 5.0 and [P(v-a)CO2] ≥ 5.0.

VariablesAll patients
( 𝑛 = 6 6 )
[P(v-a)CO2] < 5.0 mmHg
( 𝑛 = 2 2 )
[P(v-a)CO2] ≥ 5.0 mmHg
( 𝑛 = 4 4 )
𝑃

Age 6 5 . 6 ± 1 2 . 2 6 4 . 6 ± 1 3 . 5 6 6 . 0 ± 1 1 . 7 0.67
Males (%)56.150.059.10.48
APACHE II 1 6 . 9 ± 5 . 6 1 5 . 8 ± 5 . 1 1 7 . 4 ± 5 . 8 0.29
MODS3 (1.0–4.0)3.0 (1.0–4.0)3.5 (1.0–4.5)0.46
ASA (%)0.65
 I6.69.55.0
 II68.971.467.5
 III24.619.027.5
Elective surgery (%)95.595.595.51.00
Emergency surgery (%)4.54.54.51.00
Gastrointestinal surgery (%)78.881.873.30.38
[P (v-a) Co2] (mmHg) 5 . 4 ± 2 . 0 3 . 3 ± 1 . 2 6 . 5 ± 1 . 4 0.00
Lactate (mmol/L) 1 . 5 ± 0 . 8 1 . 4 ± 0 . 6 1 . 6 ± 0 . 9 0.35
Base excess (mmol/L)−0.7 (−3.0–0.6)−1.6 (−3.4–0.7)−0.5 (−2.4–0.6)0.35
ScvO2 (%) 7 4 . 1 ± 7 . 6 7 7 . 0 ± 6 . 2 7 2 . 7 ± 7 . 9 0.03
Ventricular dysfunction (%)77.354.588.60.002
Ejection fraction (%) 6 3 . 7 ± 9 . 5 6 3 . 5 ± 9 . 9 6 3 . 9 ± 9 2 0.93
Hemoglobin (g/dL) 1 1 . 4 ± 1 . 7 1 1 . 3 ± 1 . 7 1 1 . 5 ± 1 . 7 0.70
Glucose (mg/dL) 1 2 0 . 0 ± 5 4 . 2 1 2 0 . 7 ± 6 1 . 7 1 2 0 . 3 ± 5 0 . 8 0.98

ScvO2-central venous oxygen saturation; ASA: American Society of Anesthesiologists; values between brackets represent the median and percentile 25–75%.