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Table 1 Lung volumes and distribution of ventilation under face mask and helmet NIV

From: Helmet interface increases lung volumes at equivalent ventilator pressures compared to the face mask interface during non-invasive ventilation

 

Patient 1

Patient 2

Clinical history:

61-year-old female with metastatic small cell lung cancer admitted to the ICU for sepsis and acute hypoxemic respiratory failure

69-year-old female with acute myelogenous leukaemia admitted to ICU for acute hypoxemic respiratory failure

 

Face mask NIV

Transition (no NIV)

Helmet NIV

Face mask NIV

Transition (no NIV)

Helmet NIV

 Ventilator

Draeger V500

n/a

Draeger V500

BiPap Vision

n/a

Draeger V500

 NIV setting (IPAP/EPAP), cm H2O

12/8

n/a

12/8

10/8

n/a

10/8

 Tidal impedance variation (mean, SD)

1404 (93)

773 (202)

1163 (259)

2123 (259)

1724 (487)

2564 (245)

 Tidal volume, ml (mean, SD)

392 (26)

216 (56)

325 (72)

375 (46)

310 (86)

462 (43)

 End-expiratory lung impedance (mean, SD)

550 (126)

234 (83)

3022 (147)

3623 (128)

1956 (559)

5203 (212)

 Computed end-expiratory lung volume above FRC, ml (mean, SE)

88 (34)

Reference

778 (38)

253 (134)

Reference

574 (140)

 Proportion of tidal impedance in variation in dorsal lung region (%)

56

50

57

45

42

57

 Respiratory rate (min−1)

24

31

25

33

32

34

 Peripheral oxygen saturation (%)

92

n/a

96

93

n/a

95

 Set FiO2*

0.55

n/a

0.4

0.5

n/a

0.4

  1. SD standard deviation, SE standard error of the mean
  2. *The FiO2 stated represents the requirement as determined by the respiratory therapists (RTs). FiO2 was titrated, depending on response, within approximately 1 h of the change in interface