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Table 2 Maximal muscular pressures determined through airway or oesophageal pressure with and without PEEPi

From: Limited predictability of maximal muscular pressure using the difference between peak airway pressure and positive end-expiratory pressure during proportional assist ventilation (PAV)

Case

Pmus and PEEPi (cmH2O)

PAV20

PAV30

PAV40

PAV50

PAV60

PAV70

PAV80

1

Pmus, aw

25

18

15

11

9

7

4

Pmus, oes

20

19

18

13

15

13

7

Pmus, oes, PEEPi

21

22

19

14

16

14

8

 

PEEPi level

1.5 ± 0.8

2.6 ± 0.8

1.4 ± 0.5

0.7 ± 0.5

1.1 ± 0.7

1.4 ± 0.8

0.3 ± 0.3

2

Pmus, aw

19

13

10

8

6

5

3

Pmus, oes

16

15

16

13

13

14

11

Pmus, oes, PEEPi

17

17

17

14

15

15

12

 

PEEPi level

1.6 ± 0.7

1.1 ± 0.6

1.0 ± 0.6

1.4 ± 0.6

1.3 ± 0.8

1.3 ± 0.6

1.8 ± 0.6

3

Pmus, aw

17

10

8

6

5

4

3

Pmus, oes

17

14

13

14

11

11

8

Pmus, oes, PEEPi

18

16

14

15

12

14

9

 

PEEPi level

1.6 ± 0.9

1.9 ± 1.0

1.0 ± 0.8

0.7 ± 0.8

1.0 ± 0.8

1.4 ± 1.1

0.3 ± 0.6

4

Pmus, aw

17

13

10

8

6

5

3

Pmus, oes

14

16

11

11

10

8

5

Pmus, oes, PEEPi

15

17

13

12

11

9

6

 

PEEPi level

1.3 ± 0.9

1.2 ± 1.0

1.3 ± 0.9

1.7 ± 1.2

0.8 ± 0.4

1.2 ± 1.3

0.6 ± 0.5

5

Pmus, aw

13

9

7

5

5

4

3

Pmus, oes

9

9

8

7

8

6

4

Pmus, oes, PEEPi

10

10

9

8

8

6

4

 

PEEPi level

0.3 ± 0.2

0.4 ± 0.4

0.0 ± 0.1

0.1 ± 0.1

0.3 ± 0.4

0.0 ± 0.1

0.1 ± 0.1

6

Pmus, aw

23

18

13

11

9

7

6

Pmus, oes

21

21

17

20

17

14

13

Pmus, oes, PEEPi

27

28

19

27

23

18

18

 

PEEPi level

6.3 ± 4.0

7.4 ± 3.9

2.7 ± 1.4

6.8 ± 4.5

6.3 ± 4.8

4.2 ± 2.8

4.4 ± 3.2

7

Pmus, aw

14

9

7

5

4

3

2

Pmus, oes

4

5

4

4

3

2

2

Pmus, oes, PEEPi

7

7

7

6

4

4

3

 

PEEPi level

3.0 ± 0.9

2.9 ± 0.8

3.0 ± 1.5

2.1 ± 0.7

1.6 ± 0.8

1.5 ± 0.5

1.3 ± 0.8

8

Pmus, aw

20

14

10

8

6

5

3

Pmus, oes

14

13

10

10

8

7

7

Pmus, oes, PEEPi

16

15

12

10

9

8

8

 

PEEPi level

2.8 ± 0.7

2.2 ± 0.6

1.9 ± 0.8

0.8 ± 0.5

0.9 ± 0.3

1.0 ± 0.4

0.8 ± 0.4

9

Pmus, aw

26

18

13

9

8

5

3

Pmus, oes

12

11

10

8

8

6

4

Pmus, oes, PEEPi

14

13

12

10

10

8

6

 

PEEPi level

2.1 ± 0.7

2.0 ± 0.7

2.0 ± 0.7

1.8 ± 0.6

2.1 ± 0.5

1.6 ± 0.5

1.7 ± 0.4

10

Pmus, aw

26

14

9

8

6

5

4

Pmus, oes

16

15

15

13

11

11

9

Pmus, oes, PEEPi

17

16

16

14

12

12

11

 

PEEPi level

1.2 ± 1.0

1.2 ± 1.1

1.0 ± 1.0

0.4 ± 0.6

0.8 ± 0.8

0.1 ± 0.3

0.2 ± 0.5

11

Pmus, aw

28

19

14

12

10

7

4

Pmus, oes

16

14

13

12

8

12

5

Pmus, oes, PEEPi

28

32

29

28

17

18

10

 

PEEPi level

12.0 ± 1.3

17.9 ± 3.5

16.2 ± 1.7

15.9 ± 2.9

8.6 ± 1.7

6.0 ± 1.9

5.0 ± 1.4

  1. Maximum muscular pressure and intrinsic positive end-expiratory pressure (PEEPi) were calculated as average of 1-minute breaths in each proportional assist ventilation (PAV) gain. Muscular pressures between 5 and 10 cmH2O are highlighted. P mus, aw maximal muscular pressure calculated from ΔP and PAV gain, P mus, oes maximal muscular pressure calculated from maximum difference between passive and active Poes without consideration of PEEPi, P mus, oes, PEEPi maximal muscular pressure calculated from maximum difference between passive and active Poes with consideration of PEEPi