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Table 2 Ventilation parameters, arterial blood gases, and mean arterial pressure at different PEEPe for PSN and PSP

From: Neural versus pneumatic control of pressure support in patients with chronic obstructive pulmonary diseases at different levels of positive end expiratory pressure: a physiological study

Parameter

Mode

PEEPe0%

PEEPe40%

PEEPe80%

PEEPe120%

P*

P̅aw (cm H2O)

PSP

10.9 (10.3, 11.3)

12.9 (12.3, 13.3)a

15.0 (14.8, 16.3)ab

17.4 (16.8, 18.3)abc

<0.001

 

PSN

11.4 (10.8, 11.6)x

13.1 (12.1, 13.3)a

15.2 (14.4, 16.4)ab

17.5 (16.9, 18.6)abc

 

PEEPe (cm H2O)

PSP

0.6 (0.4, 1.0)z

2.3 (2.2, 2.5)az

4.7 (4.2, 5.4)ab

7.1 (6.5, 7.5)abc

<0.001

 

PSN

1.0 (0.5, 1.2)x

2.5 (2.3, 3.0)a

4.7 (4.4, 5.4)ab

7.0 (6.6, 7.5)abc

 

VT (ml/kg)

PSP

5.4 (4.2, 6.7)z

5.8 (4.9, 6.8)z

5.9 (5.0, 6.6)abz

5.5 (5.2, 7.0)ab

<0.001

 

PSN

4.6 (4.3, 5.8)x

5.0 (4.4, 5.9)a

4.9 (4.6, 6.7)ab

5.0 (4.6, 7.1)abc

 

BfN (breaths/min)

PSP

20.2 (17.7, 29.3)z

20.5 (17.6, 28.9)z

21.5 (17.2, 26.9)z

20.9 (17.9, 30.3)

0.003

 

PSN

26.4 (17.3, 30.7)x

24.4 (17.2, 33.2)

22.1 (18.1, 31.5)ab

20.5 (16.0, 29.6)ab

 

VE (l/min)

PSP

6.05 (5.25, 8.13)z

6.54 (5.47, 8.91)a

7.05 (5.67, 9.02)a

7.07 (5.70, 11.62)a

<0.001

 

PSN

6.43 (5.31, 9.54)x

6.92 (5.53, 9.98)a

7.14 (5.50, 9.20)a

7.79 (5.74, 9.66)a

 

VT/TiP (ml/s)

PSP

424 (390, 446)z

429 (389, 472)

436 (386, 458)

438 (396, 466)

0.013

 

PSN

414 (302, 491)x

443 (334, 508)a

452 (338, 526)a

479 (361, 513)a

 

TiN (s)

PSP

0.90 (0.72, 1.03)

0.90 (0.74, 0.94)

0.84 (0.73, 0.98)

0.87 (0.69, 0.93)

NS

 

PSN

0.84 (0.71, 0.96)

0.77 (0.71, 0.86)

0.81 (0.74, 0.86)

0.84 (0.73, 0.95)

 

TeN (s)

PSP

2.12 (1.43, 2.60)z

2.22 (1.45, 2.93)

2.17 (1.58, 3.14)z

2.13 (1.53, 2.58)

0.050

 

PSN

1.76 (1.16, 2.66)x

2.09 (1.20, 2.77)a

2.02 (1.24, 2.59)a

2.14 (1.33, 2.92)a

 

TiN/TtN (%)

PSP

29.6 (27.5, 36.5)

28.7 (24.5, 39.0)

27.1 (23.4, 36.3)

26.1 (23.0, 36.7)

NS

 

PSN

31.4 (25.6, 37.8)

29.4 (23.9, 38.5)

29.7 (24.6, 38.3)

30.6 (22.5, 36.8)

 

pH

PSP

7.36 (7.33, 7.41)

7.38 (7.36, 7.41)a

7.39 (7.34, 7.44)a

7.39 (7.33, 7.42)a

0.009

 

PSN

7.37 (7.33, 7.40)x

7.39 (7.34, 7.42)a

7.38 (7.32, 7.45)a

7.38 (7.35, 7.42)a

 

PaCO2 (mm Hg)

PSP

37.9 (32.0, 48.6)

35.9 (31.2, 46.1)

36.3 (32.1, 46.8)

33.5 (32.9, 43.3)

NS

 

PSN

40.4 (29.8, 47.5)

34.2 (31.2, 42.1)

35.4 (32.8, 41.8)

36.5 (30.7, 41.9)

 

PaO2 (mm Hg)

PSP

84.0 (79.9, 113.9)

94.8 (84.9, 116.7)

98.7 (90.0, 124.3)

103.9 (84.0, 117.2)

NS

 

PSN

89.7 (83.5, 122.9)

106.6 (81.2, 124.1)

99.4 (91.0, 123.9)

109.0 (95.0, 125.8)

 

MAP (mm Hg)

PSP

89.0 (76.0, 92.7)

88.0 (77.0, 92.7)

86.7 (77.7, 91.7)

89.3 (79.0, 91.3)

NS

 

PSN

88.3 (75.7, 91.3)

88.0 (75.3, 90.4)

88.7 (78.3, 91.0)

86.7 (80.3, 92.0)

 
  1. Values are presented as median (25–75 % interquartile range). *P values for one-way repeated measures analysis of variance on ranks for the eight conditions: within the same mode: a P <0.05 compared to PEEPe0%; b P <0.05 compared to PEEPe40%; c P <0.05 compared to PEEPe80%. Between modes: z P <0.05 compared to PSN at same PEEPe. Comparison of PSN zero PEEP to PSP optimal PEEP: x P <0.05 PEEPe0% at PSN vs. PEEPe80% at PSP. PSP pneumatically triggered and cycled-off pressure support, PSN neurally triggered and cycled-off pressure support ventilation, P̅aw mean airway pressure (including PEEPe), PEEPe extrinsic PEEP, VT tidal volume, VE minute ventilation, TiN neural inspiratory time, TeN neural expiratory time, Ti/TtotN neural duty cycle, BfN neural breathing frequency, PEEPiSTAT static intrinsic positive end-expiratory pressure, MAP mean arterial pressure, NS not significant