Table 2.
Effects on high-flow nasal cannula versus standard oxygen on respiratory variables
Variable | Standard oxygen | HFNC | p value |
---|---|---|---|
ΔPes, cmH2O | 7.2 [5.6–10.3] | 5.3 [4.2–7.1] | < 0.001 |
PTP, cmH2O. s | 6.4 [5.3–8.9] | 4.3 ± [3.4–6.2] | < 0.001 |
PTPmin, cmH2O. s/min | 156 [114–238] | 85 [67–140] | < 0.001 |
Pdi, cmH2O | 7.3 [6.2–11.2] | 5.9 [5.0–7.7] | 0.008 |
Respiratory rate, bpm | 24 ± 6 | 22 ± 5 | 0.001 |
VT Glob, ml | 362 ± 112 | 334 ± 99 | 0.292 |
VT Dep, ml | 261 ± 97 | 239 ± 76 | 0.206 |
VT Non-Dep, ml | 101 ± 59 | 94 ± 60 | 0.554 |
VT, ml/kg IBW | 6.2 ± 2.1 | 5.7 ± 1.9 | 0.482 |
Minute Ventilation, L/min | 8.6 ± 2.8 | 7.4 ± 2.4 | 0.037 |
ΔEELVglob (change from standard oxygen), ml | 0 [0–0] | 169 [93–656] | < 0.001 |
Dynamic compliance, VT/ΔPes (ml/cmH20) | 48 [33–62] | 66 [40–82] | 0.048 |
ΔEAdi, µV | 14 [9–16] | 10 [7–13] | 0.022 |
Neuroventilatory efficiency, (VT/EAdi) ml/ µV | 30 ± [24–36] | 33 [22–54] | 0.111 |
Diaphragmatic neuromuscular coupling, (Pdi/ΔEAdi) cmH2O/µV | 0.65 [0.42–0.70] | 0.61 [0.56–0.76] | 0.256 |
A/P Ratio | 0.41[0.25–0.62] | 0.41 [0.16–0.59] | 0.125 |
Center of ventilation | 55 [52–58] | 56 [50–60] | 0.967 |
GI index | 0.97 [0.87–1.38] | 0.88 [0.75–1.5] | 0.609 |
PaO2/FiO2, mmHg | 240 ± 77 | 267 ± 80 | 0.012 |
PaCO2, mmHg | 37 ± 4.7 | 37 ± 4.1 | 0.888 |
pH | 7.45 ± 0.04 | 7.45 ± 0.05 | 0.898 |
Ventilatory ratio | 1.36 ± 0.36 | 1.18 ± 0.39 | 0.035 |
Abbreviations: ΔPes: inspiratory esophageal pressure swing; PTP: pressure–time product per breath; PTPmin: pressure–time product per minute; Pdi: transdiaphragmatic pressure; VT Glob: tidal volume global; VT Dep: tidal volume dependent region; VT-Nondep: tidal volume non-dependent region; ΔEELVglob: variation of end expiratory lung volume; ΔEAdi: electrical activity of the diaphragm; A/P ratio: anterior to posterior ventilation ratio; GI index: global inhomogeneity index; PaCO2: partial pressure of carbon dioxide. Normally distributed variables are expressed as the mean ± standard deviation; non-normal distributed variables are expressed as median and [interquartile range]. p values were calculated using a two-way repeated measures ANOVA