Table 2.
Patient A | Patient B | Patient C | Patient D | |
---|---|---|---|---|
Ventilation and gas exchange | ||||
Highest FiO2 | 1.0 | 1.0 | 1.0 | 1.0 |
Trough PaO2/FiO2 ratio | 58 | 61 | 55 | 44 |
Highest PEEP administered (cm H2O) | 16 | 24 | 12 | 14 |
Lowest pH | 7.13 | 7.06 | 7.17 | 6.99 |
Highest PaCO2, (mmHg) | 73 | 78 | 46 | 102 |
Tidal volume mL·kg−1 PBW | 5.1 | 7.6 | 6.3 | 7.1 |
Highest peak/plateau airway pressure (cm H2O) | 50/- | 40/- | -/33 | 46/35 |
Quadrants of chest radiograph affected (number) | 4 | 4 | 4 | 4 |
Murray lung injury score | 4 | 2.75 | 3.5 | 3.5 |
Adjunctive/Rescue therapy | ||||
Neuromuscular blockade within 48 hr of mechanical ventilation | Yes | Yes | Yes | Yes |
Recruitment maneuvers | No | Yes | No | Yes |
Inhaled nitric oxide | Yes | No | No | Yes |
Prone positioning | No | No | No | Yes |
Airway pressure release ventilation | No | Yes | No | No |
Sodium bicarbonate intravenous infusion | Yes | Yes | No | Yes |
Hours of mechanical ventilation prior to starting ECMO | 42 | 58 | 24 | 90 |
ECMO retrieval | No | Yes | Yes | No |
ARDS = acute respiratory distress syndrome; ECMO = extracorporeal membrane oxygenation; FiO2 = fraction of inspired oxygen; PaO2 = partial pressure of oxygen; PaCO2 = partial pressure of carbon dioxide; PBW = predicted body weight; PEEP = positive end-expiratory pressure