Table 3.
Moderate ARDS, High CO [25] | Moderate ARDS, Normal CO [26] | Severe ARDS, High CO [27] | ||||
---|---|---|---|---|---|---|
RM | MRS | SI | MRS | SI | MRS | SI |
End RM PEEP, cm H2O | 10 | 10 | 10 | 10 | 15 | 10 |
RecruitmentB (baseline), % | 78 | 78 | 8 | 87 | 57 | 57 |
RecruitmentM (maximum), % | 97 | 80 | 100 | 97 | 98 | 65. |
R Ratio | 19.59 | 2.50 | 13.00 | 10.31 | 41.84 | 12.31 |
∆ CO (at max PAW), l min−1 | −2.3 | −1.7 | −1.6 | −1.2 | −2.3 | −1.5 |
∆ RVEDV (at max PAW), ml | −14 | −6 | −55 | −29 | −18 | −10 |
DO2 (baseline), ml min−1 | 1086 | 1086 | 754 | 754 | 902 | 902 |
∆ DO2 (at max PAW), ml min−1 | 810 | 834 | 453 | 540 | 697 | 689 |
∆ DO2 (post RM), ml min−1 | 1144 | 1097 | 790 | 786 | 1012 | 971 |
RAP (baseline), mm Hg | 9 | 9 | 11 | 11 | 11 | 11 |
RAP (at max PAW), mm Hg | 18 | 12 | 21 | 15 | 23 | 16 |
PF ratio (baseline), mm Hg | 199 | 199 | 196 | 196 | 65 | 65 |
PF ratio (post RM), mm Hg | 363 | 213 | 337 | 309 | 347 | 86 |
List of Abbreviations: RM recruitment maneuver, PEEP positive end expiratory pressure, R Ratio recruitment ratio ((recruitmentM -recruitmentB)/recruitmentB × 100), ∆ CO change in cardiac output relative to baseline, ∆ RVEDV change in right ventricle end diastolic volume relative to baseline, DO 2 oxygen delivery, ∆ DO 2 change in oxygen deliver relative to baseline, PF ratio ratio of arterial partial pressure of oxygen to fraction of oxygen in inhaled air, max P AW maximum airway pressure, RAP right atrial pressures