Table 2.
Parameter | Therapy | ANOVA (P=) | |||||||
---|---|---|---|---|---|---|---|---|---|
Group | Mode | 20′ | 40′ | 60′ | Seq | Group | Mode | Time | Mixed |
VT (mL/kg) | 0.006 | 0.730 | 0.049 | 0.648 | 0.137 | ||||
Norm | VCV | 5.1 ± 0.2 | 5.1 ± 0.2 | 5.1 ± 0.2 | 0.042 | 0.978 | 0.044 | ||
FCV | 5.4 ± 0.3 | 5.6 ± 0.2 | 5.6 ± 0.2 | ||||||
P = 0.020 | P < 0.001 | P < 0.001 | |||||||
Hypo | VCV | 5.1 ± 0.3 | 5.1 ± 0.3 | 5.0 ± 0.3 | 0.251 | 0.621 | 0.532 | ||
FCV | 5.4 ± 0.2 | 5.5 ± 0.3 | 5.5 ± 0.4 | ||||||
MV (L/min) | 0.520 | 0.799 | < 0.001 | 0.904 | 0.570 | ||||
Norm | VCV | 7.7 ± 0.5 | 7.7 ± 0.5 | 7.7 ± 0.5 | < 0.001 | 0.894 | 0.995 | ||
FCV | 6.8 ± 0.2 | 6.8 ± 0.4 | 6.8 ± 0.4 | ||||||
P < 0.001 | P < 0.001 | P < 0.001 | |||||||
Hypo | VCV | 7.8 ± 0.7 | 7.8 ± 0.8 | 7.8 ± 0.8 | < 0.001 | 0.778 | 0.453 | ||
FCV | 6.8 ± 1.0 | 7 ± 0.8 | 7.0 ± 0.8 | ||||||
P < 0.001 | P = 0.008 | P = 0.002 | |||||||
RR (min-1) | 0.897 | 0.495 | < 0.001 | 0.989 | 0.403 | ||||
Norm | VCV | 35 ± 0 | 35 ± 0 | 35 ± 0 | < 0.001 | 0.983 | 0.145 | ||
FCV | 29 ± 1 | 28 ± 1 | 29 ± 1 | ||||||
P < 0.001 | P < 0.001 | P < 0.001 | |||||||
Hypo | VCV | 35 ± 0 | 35 ± 0 | 35 ± 0 | < 0.001 | 0.999 | 0.990 | ||
FCV | 28 ± 2 | 29 ± 2 | 28 ± 2 | ||||||
P < 0.001 | P < 0.001 | P < 0.001 | |||||||
Pmean (cmH2O) | 0.345 | 0.666 | 0.731 | 0.756 | 0.098 | ||||
Norm | VCV | 15.1 ± 1.1 | 14.8 ± 1.0 | 14.8 ± 1.1 | |||||
FCV | 15.3 ± 1.3 | 16 ± 1.4 | 15.9 ± 1.1 | ||||||
Hypo | VCV | 14.6 ± 1.8 | 14.8 ± 1.8 | 14.8 ± 1.8 | |||||
FCV | 14.9 ± 3.3 | 14.8 ± 3.2 | 15.6 ± 3.4 | ||||||
Ppeak (cmH2O) | 0.498 | 0.467 | < 0.001 | 0.661 | 0.419 | ||||
Norm | VCV | 33 ± 3.1 | 32.3 ± 3.4 | 32.4 ± 3.3 | < 0.001 | 0.590 | 0.082 | ||
FCV | 28 ± 3.4 | 29.6 ± 3.4 | 29.8 ± 3.4 | ||||||
P = 0.009 | P = 0.133 | P = 0.143 | |||||||
Hypo | VCV | 31.3 ± 3.4 | 31.8 ± 3.3 | 32.5 ± 4.3 | 0.027 | 0.315 | 0.715 | ||
FCV | 27.4 ± 5.8 | 26.5 ± 5.3 | 28 ± 4.8 | ||||||
P = 0.125 | P = 0.033 | P = 0.065 | |||||||
PEEP (cmH2O) | 0.265 | 0.141 | 0.002 | 0.977 | 0.634 | ||||
Norm | VCV | 5.1 ± 0.4 | 5.1 ± 0.4 | 5.1 ± 0.3 | < 0.001 | 0.941 | 0.955 | ||
FCV | 4.2 ± 0.2 | 4.3 ± 0.1 | 4.2 ± 0.2 | ||||||
P < 0.001 | P < 0.001 | P < 0.001 | |||||||
Hypo | VCV | 4.9 ± 0.4 | 4.8 ± 0.3 | 4.9 ± 0.2 | 0.111 | 0.994 | 0.634 | ||
FCV | 3.7 ± 1.3 | 4 ± 1.2 | 3.5 ± 1.6 | ||||||
Total PEEP (cmH2O) | 0.386 | 0.947 | < 0.001 | 0.885 | 0.420 | ||||
Norm | VCV | 6.2 ± 0.6 | 6.3 ± 0.7 | 6.3 ± 0.7 | < 0.001 | 0.671 | 0.552 | ||
FCV | 4.43 ± 0.1 | 4.4 ± 0.1 | 4.3 ± 0.1 | ||||||
P < 0.001 | P < 0.001 | P < 0.001 | |||||||
Hypo | VCV | 6.6 ± 1.0 | 6.5 ± 0.7 | 6.5 ± 0.8 | < 0.001 | 0.906 | 0.560 | ||
FCV | 4.2 ± 0.9 | 4.4 ± 0.9 | 4.0 ± 1.0 | ||||||
P < 0.001 | P < 0.001 | P < 0.001 |
Values in mean ± standard deviation; Statistical P values according to linear mixed-effects repeated measures ANOVA with within subject factors: mode of ventilation (volume or flow-controlled ventilation) and time of therapy in minutes; and between subject factors group of therapy (normovolaemia or hypovolaemia) and randomisation sequence (volume or flow-controlled ventilation first). Significance was accepted for P < 0.05. Statistical analysis was performed in R Statistical programming language and the package lme4
FCV flow-controlled ventilation, VCV volume-controlled ventilation, VT tidal volume, MV minute volume, RR respiratory rate, Pmean mean tracheal pressure, Ppeak peak tracheal pressure, PEEP positive end-expiratory pressure, total PEEP PEEP + intrinsic PEEP