3
Tab le 3 . C al cu la te d Xe CT -CB F pa ra m et er s a t t he d iff er en t p ha se s o f t he a cu te c ou rs e af te r S AH d ay 0 –3 an d 4– 7 (su bg ro up 0 4) . P at ie nt s a re st ra tif ie d by hi gh or low ea rly g lo ba l C BF a t d ay 0 –3 (c ut -of f 3 0 m l/ 10 0 g/ m in ), an d by w he the r HHH -th er ap y wa s g iv en du rin g th e IC U -c ou rse . Sy st em ic p hy si ol og ic al pa ra m et er s an d se dat io n do se at th e st ar t o f t he X eC T pr oc ed ur es . Hi gh e ar ly C BF (n = 21) Lo w e ar ly C BF (n = 8) St an da rd tr ea tm en t Da y 0– 3 Da y 4– 7 Da y 0– 3 Da y 4– 7
median(IQR) median(IQR) median(IQR) median(IQR)
gl ob C BF , ml /1 00 g/m in 40. 0 (3 4. 9– 48. 5) 35. 0 (2 8. 6– 41. 4) 27. 1 (2 1. 7– 28. 7) 26. 6 (2 1. 9– 28. 9)
└─────── P = 0.002────────┘ └────────── n s ────────────┘
rC BF wo rs t t er rit or y, m l/ 10 0g /m in 30. 4 (2 2. 9– 33. 0) 24. 2 (1 8. 9– 30. 3) 19. 0 (1 5. 7– 22. 5) 17. 0 (1 6. 3– 19. 6)
└─────── P = 0.004 ────────┘
% RO I-ar ea [r CBF < 20 m l/ 10 0g /m in ] 10. 0 (2 .4 –16. 5) 10. 0 (0 .9 –31. 8) 25. 7 (2 3. 1– 47. 2) 30. 4 (2 4. 3– 41. 8) % RO I-ar ea [r CBF < 10 m l/ 10 0g /m in ] 1. 3 (0 .0 –5. 0) 0. 0 (0 .0 –8. 3) 4. 2 (1 .2 –7. 6) 4. 4 (3 .4 –5. 9)
mean(CI)mean(CI)mean(CI)mean(CI)
MA P, m m H g 88. 4 (8 4. 0– 92. 8) 94. 7 (8 9. 0– 100. 3) 90. 5 (8 4. 6– 96. 3) 94. 2 (8 7. 2– 101. 3) Pa CO
2
, mm Hg 38. 7 (37. 1– 40. 3) 43. 0 (40. 8– 45. 3) 37. 6 (35. 1– 40. 1) 41. 7 (38. 2– 45. 1) He m at oc rit , % 34. 6 (3 2. 8– 36. 5) 33. 9 (3 2. 3– 35. 3) 33. 3 (3 0. 2– 36. 4) 33. 1 (3 1. 0– 35. 2) Pr op of ol d os e, m g/ kg /h 2. 2 (1 .5 –2. 9) 2. 3 (1 .6 –3. 0) 2. 1 (1 .0 – 3. 3) 1. 8 (0 .8 –2. 7) Hi gh e ar ly C BF (n = 13) Lo w e ar ly C BF (n = 9) Clin ic al D CI , H H H -th er ap y Da y 0– 3 Da y 4– 7 Da y 0– 3 Da y 4– 7
median(IQR) median(IQR) median(IQR) median(IQR)
gl ob C BF m l/1 00 g/ m in 34. 5 (3 1. 9– 41. 7) 39. 4 (3 3. 9– 48. 8) 21. 3 (2 0. 8– 25. 9) 37. 8 (2 3. 6– 41. 0)
└──────── P = 0.008 ────────┘
rC BF w ors t t erri to ry m l/ 10 0g /m in 26. 5 (2 2. 2– 33. 0) 30. 0 (2 1. 1– 40. 7) 14. 3 (9 .9 –17. 3) 25. 2 (1 9. 4– 29. 9)
└──────── P = 0.008 ────────┘
% RO I-ar ea [r CBF < 20 m l/ 10 0g /m in ] 11. 3 (3 .8 –22. 5) 3. 3 (1 .2 –21. 7) 46. 7 (3 4. 8– 50. 8) 17. 8 (7 .2 –39. 2)
└──────── P = 0.021 ────────┘
% RO I-ar ea [r CBF < 10 m l/ 10 0g /m in ] 0. 0 (0 .0 –1. 4) 0. 0 (0 .0 –2. 1) 8. 7 (4 .7 –21. 7) 1. 8 (0 .0 –4. 9)
mean(CI)mean(CI)mean(CI)mean(CI)
MA P, m m H g 93. 4 (8 6. 6– 100. 3) 93. 0 (8 6. 9– 99. 0) 89. 4 (8 2. 9– 96. 0) 95. 2 (8 2. 0– 108. 4) Pa CO
2
, m m Hg 40. 3 (38. 7– 41. 9) 38. 8 (36. 9– 40. 8) 38. 4 (34. 9– 41. 9) 43. 0 (40. 7– 45. 4) He m at oc rit , % 34. 7 (3 2. 8– 36. 5) 32. 5 (2 9. 9– 35. 1) 36. 2 (3 4. 7– 37. 7) 33. 3 (3 0. 9– 35. 7) Pr op of ol d os e, m g/ kg /h 2. 2 (1 .5 –2. 9) 2. 3 (1 .6 –3. 0) 2. 7 (2 .3 –3. 1) 2. 1 (1 .4 –2. 8) CBF ce re br al b lo od fl ow , gl ob gl ob al , r re gi on al , RO I-ar ea re gi on -of -in te re st a re a, MA P me an a rt er ia l p re ss ur e, Pa CO
2 ar te ria l P CO
2