Table 2.
Protocols | PEEPbaseline | Express protocol | P Lexpi | p value |
---|---|---|---|---|
PEEP (cmH2O) | 7.0 ± 1.8 | 14.2 ± 3.6* | 16.7 (5.9)* | < 0.0001 |
Pplat (cmH2O) | 20.8 ± 4.0 | 28.8 ± 2.0 * | 33.9 ± 10.6* | < 0.0001 |
PL,es (cmH2O) | 7.0 ± 5.9 | 11.9 ± 6.2* | 15.5 ± 8.5* | 0.0013 |
PL,EL (cmH2O) | 15.3 ± 4.9) | 20.5 ± 4.7* | 24.3 ± 11.4* | 0.0025 |
PLexpi (cmH2O) | − 2.6 ± 5.2 | 1.4 ± 5.1* | 3.3 ± 1.6* | < 0.0001 |
EELV (ml) | 1546 ± 634 | 2067 ± 924* | 2287 ± 945* | 0.001 |
DPaw (cmH2O) | 13.0 ± 3.9 | 14.2 ± 5.0 | 16.4 ± 7.8 | 0.17 |
DPL (cmH2O) | 9.9 ± 4.4 | 10.6 ± 5.6 | 12.3 ± 8.3 | 0.20 |
DPL,EL (cmH2O) | 7.5 ± 4.3 | 8.1 ± 5.6 | 9.5 ± 8.1 | 0.30 |
Crs (ml/cmH2O) | 33.3 ± 15.8 | 30.0 ± 10.7 | 28.3 ± 13.2 | 0.17 |
Ecw (cmH2O/l) | 8.7 ± 2.7 | 9.6 ± 3.4* | 10.9 ± 4.3* | 0.03 |
EL (cmH2O/l) | 26.0 ± 11.9 | 28.0 ± 15.9 | 33.2 ± 25.1 | 0.25 |
FiO2 (%) | 80.0 ± 21.1 | 80.6 ± 21.2 | 81.1 ± 21.6 | 0.46 |
PaO2/FiO2 | 91.2 ± 31.2 | 134.0 ± 67.2* | 152.7 ± 80.1* | 0.01 |
pH | 7.31 ± 0.11 | 7.30 ± 0.11 | 7.31 ± 0.12 | 0.08 |
PaCO2 (mmHg) | 45.2 ± 10.4 | 46.5 ± 9.6 | 45.3 ± 11.0 | 0.26 |
MAP (mmHg) | 82.0 ± 13.4 | 74.7 ± 12.9 | 75.7 ± 12.0 | 0.06 |
Heart rate (beats/min) | 99 ± 27 | 102 ± 26 | 107 ± 28 | 0.19 |
Lactates (mmol/l) | 1.6 ± 0.9 | 1.5 ± 0.8 | 1.5 ± 0.8 | 0.27 |
Results are expressed as mean ± standard deviation
Pplat: plateau pressure; PLexpi: end-expiratory transpulmonary pressure; DPL: transpulmonary driving pressure; PL,EL: relative end-expiratory pressure; PL,es: absolute inspiratory transpulmonary pressure; DPaw: airway driving pressure; DPL: transpulmonary driving pressure, DPL,EL: transpulmonary elastance-related driving pressure; EL: lung elastance; EELV: end-expiratory lung volume; Ecw: elastance chest wall; Crs: compliance respiratory system; MAP: mean arterial pressure. p value refers to repeated measures ANOVA. *p < 0.05 of Express and PLexpi groups versus baseline group. §p < 0.05 of Express versus PLexpi groups