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Table 2 Ventilator settings and physiological variables before and after measurements (N = 61)

From: Implementing a bedside assessment of respiratory mechanics in patients with acute respiratory distress syndrome

 

Premeasurement

Postmeasurement

P value

Ventilator settings

 VT/PBW, ml/kg

6.5 [6.2–7.0]

6.4 [6.2–6.7]

0.006

 PEEP, cmH2O

12 [10–14]

12 [10–14]

0.077

 FiO2

0.60 [0.50–0.70]

0.60 [0.50–0.70]

0.325

Physiological variables

 PaCO2, mmHg

41 [38–50]

42 [38–50]

0.553

 PaO2/FiO2, mmHg

146 ± 60

162 ± 69

0.020

 Pplat a, cmH2O

30 ± 5

28 ± 5

0.004

 ∆Pa, cmH2O

18 [14–20]

15 [12–19]

0.023

 OIb, cmH2O/mmHg

15.2 ± 7.4

13.8 ± 8.3

0.021

 O/SIa, mmHg/cmH2O

7.5 [5.4–11.5]

8.2 [5.9–14.7]

0.029

 VD/VT, est

0.63 ± 0.10

0.62 ± 0.12

0.494

 VE, corr, L/minute

13.0 ± 3.2

12.8 ± 3.3

0.421

  1. Abbreviations: Vt/PBW Tidal volume per predicted body weight, PEEP Positive end-expiratory pressure, FiO 2 Fraction of inspired oxygen, PaCO 2 Partial pressure of carbon dioxide, PaO 2 /FiO 2 Ratio of partial pressure of arterial oxygen to fraction of inspired oxygen, Pplat Plateau pressure, ∆P Driving pressure, OI Oxygenation index, O/SI Oxygenation/Stretch Index, indicating a benefit-to-cost ratio, V D /V T , esti Estimated physiological dead-space fraction, V E,corr Corrected expired volume per minute
  2. Continuous variables were described as mean ± SD and compared using paired t tests or described as median [IQR] and compared using Wilcoxon matched-pairs signed-rank sum tests, as appropriate. Bonferroni adjustment was not used. (Refer to main text for explanations.)
  3. a N = 45; 6 patients who were ventilated in volume control mode without documented Pplat were excluded. ∆P was calculated as the difference between Pplat and PEEP
  4. b N = 59; 2 patients who were ventilated in pressure support mode either before or after the measurements were excluded from analysis