Clinical Study

Persistent Sepsis-Induced Hypotension without Hyperlactatemia: A Distinct Clinical and Physiological Profile within the Spectrum of Septic Shock

Table 4

Hemodynamic, perfusion and microcirculatory parameters in 45 patients evaluated with sublingual SDF videomicroscopy.

Lactate < 2.5 mmol/LLactate ≥ 2.5 mmol/L

n (%)14 (31%)31 (69%)
NE (ug/kg/min)0.2 [0.09–0.39]0.48 [0.22–0.93]*
Lactate (mmol/l)1.4 [1.2–2.1]5.8 [3.9–8.4]*
ScvO2 (%)73 [67–77]71 [66–78]
TVD (n/mm)12.9 [10.7–13.9]12.9 [11.1–14.9]
PVD (n/mm)10.5 [9.5–12]10.1 [6.6–12.4]
PPV (%)87.3 [81.6–90.6]75.5 [60.9–86.4]*
MFI2.44 [2.25–2.61]2.11 [1.7–2.32]*
Het MFI0.33 [0.18–0.49]0.42 [0.27–0.72]

*
Data are shown as median [interquartile range] or percentage. NS: nonsignificant ( ). NE: norepinephrine; ScvO2: central venous oxygen saturation; P(cv-a)CO2: central venous-to-arterial PCO2 difference; TVD: total vascular density; PVD: perfused vascular density; PPV: percentage of perfused vessels; MFI: microvascular flow index; Het MFI: MFI heterogeneity.