Table 2.
Lung mechanics, gas exchange, and hemodynamics data
Variable | PEEP 5 incremental phase | PEEP 10 incremental phase | PEEP 15 | PEEP 10 decremental phase | PEEP 5 decremental phase | Friedman test p value |
---|---|---|---|---|---|---|
VT, ml/kg IBW | 7.4 [7.0–7.8] | 7.5 [7.2–7.8] | 7.6 [7.4–7.8] | 7.6 [7.4–7.8] | 7.6 [7.4–7.8] | 0.171 |
RR, breaths/minute | 15 [14–16] | 16 [15–18] | 16 [14–18] | 16 [14–18] | 15 [14–18] | 0.275 |
MV, L/minute | 6.4 [5.8–6.6] | 6.9 [6.4–7.7] | 6.8 [6.5–8.0] | 6.8 [6.5–8.4] | 6.8 [6.4–7.8] | 0.222 |
Ppeak, cmH2O | 21 [19–28] | 28 [26–30]a | 34 [32–35]a,b | 27 [25–30]a,c | 23 [21–28]b,c,d | <0.001 |
Pplat, cmH2O | 15 [14–19] | 21 [20–23]a | 26 [25–27]a,b | 20 [18–22]a,b,c | 15 [13–20]b,c,d | < 0.001 |
Driving pressure, cmH2O | 10 [10–15] | 11 [10–13] | 12 [10–12] | 10 [8–12] | 10 [8–15] | 0.100 |
Crs, ml/cmH2O | 39 [32–47] | 38 [34–44] | 38 [34–43] | 43 [35–57] | 45 [30–52] | 0.100 |
PaCO2, mmHg | 53.8 [49.1–59.0] | 53.3 [49.2–58.0] | 54.0 [50.4–59.7] | 52.2 [47.1–56.1] | 51.8 [44.7–57.5] | 0.246 |
PaO2/FiO2, mmHg | 233 [159–286] | 234 [163–279] | 255 [178–292] | 253 [203–320] | 246 [172–304] | 0.611 |
pH | 7.33 [7.30–7.39] | 7.34 [7.30–7.41] | 7.32 [7.29–7.40] | 7.34 [7.29–7.38] | 7.34 [7.31–7.39] | 0.170 |
MAP, mmHg | 70 [66–85] | 76 [67–83] | 71 [64–76] | 74 [66–80] | 78 [70–82] | 0.490 |
HR, beats/minute | 76 [72–86] | 76 [68–84]a | 72 [67–84]a | 73 [64–83]a | 77 [63–85] | 0.021 |
Abbreviations: PEEP Positive end-expiratory pressure, RM Recruitment maneuver, VT Tidal volume, IBW Ideal body weight, RR Respiratory rate, MV Minute ventilation, Ppeak Peak airway pressure, Pplat Plateau airway pressure, Crs Respiratory system compliance, PaCO2 Partial pressure of carbon dioxide in arterial blood, PaO2/FiO2 Ratio of partial pressure of oxygen in arterial blood to fraction of inspired oxygen, MAP Mean arterial pressure, HR Heart rate
Data are expressed as median [IQR]
Wilcoxon post hoc test analysis for couples: aStatistically significant difference from PEEP 5 incremental phase; bStatistically significant difference from PEEP 10 incremental phase; cStatistically significant difference from PEEP 15; dStatistically significant difference from PEEP 10 decremental phase