Variables | T0 | T1 | T2 | T3 | P value |
---|---|---|---|---|---|
EIT data | |||||
Ventilation distribution, ventral (%) | 68.87 ± 10.94 | 61.04 ± 12.80a | 58.66 ± 12.51a | 55.83 ± 13.48a | < 0.001 |
Ventilation distribution, dorsal (%) | 31.13 ± 10.94 | 38.96 ± 12.80a | 41.34 ± 12.51a | 44.17 ± 13.48a | < 0.001 |
Ventilation distribution, ROI 1 (%) | 16.01 (9.93–22.39) | 10.99 (7.40–16.66)a | 12.95 (9.13–15.35) | 12.05 (7.30–15.68)a | 0.009 |
Ventilation distribution, ROI 2 (%) | 52.12 ± 5.54 | 48.81 ± 9.34 | 46.07 ± 8.73 | 42.88 ± 9.24a | 0.002 |
Ventilation distribution, ROI 3 (%) | 26.62 ± 10.21 | 33.42 ± 9.37 | 36.56 ± 10.75a | 35.51 ± 11.11a | 0.001 |
Ventilation distribution, ROI 4 (%) | 4.52 ± 3.58 | 5.56 ± 6.40 | 4.78 ± 5.57 | 8.66 ± 5.32a | 0.027 |
Perfusion distribution, ventral (%) | 57.75 (53.81–67.97) | 56.20 (52.72–61.52) | 57.37 (47.63–63.24) | 49.62 (46.80–58.74)a | 0.013 |
Perfusion distribution, dorsal (%) | 42.25 (32.03–46.19) | 43.80 (38.48–47.28) | 42.63 (36.76–52.37) | 50.38 (41.26–53.20)a | 0.013 |
Perfusion distribution, ROI 1 (%) | 15.86 ± 8.62 | 12.61 ± 4.54 | 12.54 ± 5.10 | 13.11 ± 4.91 | 0.405 |
Perfusion distribution, ROI 2 (%) | 46.76 ± 9.18 | 44.43 ± 4.83 | 42.87 ± 5.64 | 38.99 ± 6.00a | 0.009 |
Perfusion distribution, ROI 3 (%) | 36.32 (27.99–39.37) | 37.82 (29.37–42.87) | 36 (30.81–42.19) | 39.47 (33.76–43.95)a | 0.037 |
Perfusion distribution, ROI 4 (%) | 5.93 ± 3.16 | 6.45 ± 3.04 | 7.40 ± 3.71 | 9.00 ± 3.29a b | 0.005 |
GI index-ventilation | 0.61 (0.55–0.62) | 0.54 (0.51–0.61) | 0.53 (0.47–0.55)a | 0.50 (0.42–0.53)a | < 0.001 |
Center of Ventilation (%) | 43.31 ± 5.07 | 45.09 ± 4.88 | 46.05 ± 4.63 | 46.84 ± 4.96a | 0.048 |
Shunt (%) | 13.80 ± 7.53 | 10.15 ± 3.34 | 12.39 ± 8.37 | 8.39 ± 5.18 | 0.059 |
Shunt, ventral (%) | 4.29 (1.94–7.03) | 2.87 (1.07–5.66) | 3.39 (1.79–6.62) | 2.30 (1.02–3.57) | 0.348 |
Shunt, dorsal (%) | 7.38 (4.99–13.01) | 6.41 (4.94–8.75) | 5.60 (3.00–10.49) | 4.80 (2.80–8.38) | 0.458 |
Dead space (%) | 23.92 (14.71–31.43) | 25.54 (15.37–29.57) | 18.19 (15.02–28.31) | 26.81 (19.34–31.08) | 0.777 |
Dead space, ventral (%) | 8.30 ± 2.40 | 8.49 ± 2.45 | 9.25 ± 2.67 | 7.13 ± 2.06 | 0.906 |
Dead space, dorsal (%) | 6.99 (4.70–9.13) | 7.95 (4.60–10.64) | 7.26 (4.40–9.86) | 8.67 (6.27–13.02) | 0.552 |
V/Q matching (%) | 63.41 ± 13.47 | 69.13 ± 10.18 | 67.76 ± 13.25 | 68.58 ± 11.70 | 0.258 |
V/Q matching, ventral (%) | 35.89 (30.51–43.33) | 38.28 (34.23–42.30) | 34.07 (27.65–43.14) | 34.43 (31.38–36.78) | 0.682 |
V/Q matching, dorsal (%) | 25.72 ± 9.01 | 31.13 ± 6.62 | 33.14 ± 8.95a | 29.80 ± 7.19 | 0.007 |
Respiratory parameters | |||||
PaO2 | 75.16 ± 17.19 | – | – | 116.1 ± 41.24 | 0.004 |
PaCO2 | 44.27 ± 8.58 | – | – | 36.78 ± 4.20 | 0.032 |
PaO2/FiO2 | 109.5 ± 36.44 | – | – | 222.2 ± 58.46 | < 0.001 |
Mean airway pressure (cmH2O) | 20.83 ± 2.21 | 20.75 ± 2.30 | 20.83 ± 2.13 | 20.50 ± 1.78 | 0.448 |
Total minute ventilation (L/min) | 5.88 ± 0.90 | 6.14 ± 0.99 | 6.55 ± 1.19a | 7.53 ± 1.22abc | < 0.001 |
Tidal volume (mL/kg PBW) | 6.90 ± 0.68 | 7.19 ± 0.74 | 7.66 ± 0.74a | 8.82 ± 0.84abc | < 0.001 |
Tidal volume (mL) | 442.5 ± 32.86 | 461.3 ± 36.15 | 491.8 ± 38.8a | 567.5 ± 60.93abc | < 0.001 |
*Driving pressure (cmH2O) | 11.93 ± 1.73 | 11.40 ± 1.61 | 10.86 ± 2.15 | 10.30 ± 1.97 | 0.090 |
*Crs (mL/cmH2O) | 32.15 (27.11–42.3) | 32.40 (29.63–39.98) | 38.45 (30.15–45.53) | 37.95 (36.00–44.25) | 0.030 |
Hemodynamic parameters | |||||
Systolic blood pressure (mmHg) | 118.3 ± 17.83 | 125.1 ± 16.18 | 125.4 ± 28.22 | 130.8 ± 26.98 | 0.624 |
Diastolic blood pressure (mmHg) | 62 ± 9.42 | 64.75 ± 8.76 | 61.33 ± 13.9 | 65.67 ± 11.62 | 0.734 |
Heart rate (bpm) | 103 ± 19.24 | 93.92 ± 17.71 | 90.67 ± 90.67 | 89.17 ± 12.48 | 0.185 |
Norepinephrine dose (μg/kg/min) | 0 (0–0.246) | 0 (0–0.17) | 0.05 (0–0.15) | 0 (0–0.15) | 0.968 |