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. 2021 Mar 2;160(1):175–186. doi: 10.1016/j.chest.2021.02.047

Table 2.

Impact of Circuit Setup on Ventilator Performance During Noninvasive Ventilation and CPAP

Variables Setup 1
Setup 2
Setup 3
Setup 4
Setup 5
Setup 6
Setup 7
Setup 8
Setup 9
[Median (IQR)] [Median (IQR)] [Median (IQR)] [Median (IQR)] [Median (IQR)] [Median (IQR)] [Median (IQR)] [Median (IQR)] [Median (IQR)]
Noninvasive ventilation
 Flow to trigger, L/min 23.5 [6.5 to 24.7]a 24.1 [7.9 to 25.3]a 23.2 [7.2 to 24.3]a 24.3 [7.2 to 25.2]a –11.3 [–15.4 to 7.4] 10.4 [3.7 to 20]a 14.1 [4.1 to 19]a 21.6 [20.1 to 24.7]a NA
 Inspiratory effort, cm H2O –7.8 [–10.3 to –5.9]a –7.7 [–10.3 to –5.8]a –7.4 [–10.3 to –6.0]a –7.6 [–10.4 to –6.0]a –3.9 [–4.4 to –3.5] –7.3 [–9.7 to –6.0]a –7.0 [–8.8 to –5.57]a –10.5 [–11.2 to –9.9]a NA
 Time to trigger, ms 165 [102 to 312]a 163 [99 to 310]a 153 [104 to 307]a 158 [104 to 320]a 51 [41 to 61] 149 [105 to 266]a 135 [92 to 211]a 323 [278 to 402]a NA
 Delivered pressure, cm H2O 15.6 [14.6 to 15.7] 15.9 [15 to 16] 13.5 [13.1 to 13.9]a 13.9 [13.6 to 14.4]a 15.6 [15 to 15.9] 16.2 [16.1 to 17.5]a 16.5 [16.4 to 16.5]a 16.3 [15.5 to 16.6]a NA
 Work of breathing, mJ 823 [717 to 1,270] 809 [709 to 1,281] 783 [675 to 1,320] 780 [686 to 1,240] 861 [747 to 1,373] 872 [815 to 1,046] 520 [301 to 1,129]a 875 [766 to 1,406] NA
 Tidal volume, mL 563 [280 to 748] 573 [285 to 780] 535 [267 to 715]a 544 [270 to 732] 553 [325 to 776] 563 [277 to 770] 592 [331 to 949] 529 [512 to 620] NA
 Patient-ventilator asynchrony, No. (%) 2 (2%) 6 (7%) 2 (2%) 2 (2%) 2 (2%) 37 (41%) 11 (12%) 38 (42%) NA
 PTPt, cm H2O × s 0.255 [0.140 to 0.300]a 0.270 [0.130 to 0.300]a 0.260 [0.140 to 0.290]a 0.260 [0.140 to 0.298]a 0.050 [0.040 to 0.060] 0.260 [0.165 to 0.350]a 0.170 [0.150 to 0.290]a 0.640 [0.470 to 1.255]a NA
CPAP
 Flow to trigger, L/min 33.0 [14.3 to 36.6] 33.6 [13.7 to 37.9] 33.2 [14.6 to 37] 33.7 [13.7 to 38] 34.6 [7 to 38.3] 23.2 [8.9 to 25.6]a 23.3 [7.8 to 25.1]a 29.1 [12.2 to 35.1] NA
 Time to trigger, ms 289.1 [210.9 to 354] 291 [207 to 356] 311.5 [226.1 to 401.4]a 301.8 [214.4 to 379.9] 293.9 [220.2 to 314.5] 194.3 [160.2 to 279.8]a 177.7 [146.5 to 276.4]a 363.3 [265.6 to 404.8]a NA
 Delivered pressure, cm H2O 7.8 [7.8 to 7.9]a 7.9 [7.9 to 7.9]a 6.8 [6.6 to 6.9]a 7.0 [6.9 to 7.1]a 8.0 [7.9 to 8.1] 7.8 [7.4 to 7.9]a 7.9 [7.8 to 8.2]a 7.9 [7.9 to 8]a 6.5 [6.5 to 6.6]a
 Tidal volume, mL 344 [181 to 474] 345 [182 to 485]a 339 [178 to 461] 340 [180 to 470] 337 [173 to 461] 352 [183 to 526]a 360 [183 to 599]a 339 [182 to 455] 320 [173 to 414]
 PTPt, cm H2O × s 0.353 [0.321 to 0.599] 0.325 [0.297 to 0.552]a 0.478 [0.376 to 0.643] 0.365 [0.325 to 0.59] 0.405 [0.343 to 0.68] 0.312 [0.257 to 0.364]a 0.293 [0.219 to 0.314]a 0.380 [0.322 to 0.863] 0.860 [0.526 to 1.039]a

Values represent median (IQR) unless otherwise indicated. IQR = interquartile range; NA = not applicable; PTPt = inspiratory pressure-time product.

a

P < .05 after correction for multiple comparisons when compared with setup 5.