Table 2.
Clinical Study: Respiratory Mechanics, Oxygenation, Collapse and Overdistension, and Regional Crs
| LungARDSnet [Mean ± SD or Median (IQR)] | LungRECRUITED [Mean ± SD or Median (IQR)] | Difference (CI)* | P Value | |
|---|---|---|---|---|
| Vt, ml/IBW | 6.3 ± 0.9 | 6.3 ± 0.8 | 0.1 (-0.1 to 0.2) | 0.23 |
| RR, bpm | 25.1 ± 6.0 | 25.2 ± 6.0 | 0.1 (-0.1 to 0.3) | 0.33 |
| PEEP, cm H2O | 13 ± 1 | 21 ± 3 | 8 (7 to 10) | <0.01 |
| PesEXP, cm H2O | 17.1 ± 4.5 | 19.5 ± 5.1 | 2.4 (1.3 to 3.4) | <0.01 |
| PlE, cm H2O | −4.3 ± 4.2 | 1.4 ± 3.6 | 5.7 (4.3 to 7.2) | <0.01 |
| Plateau pressure, cm H2O | 25.6 ± 3.9 | 30.4 ± 4.5 | 4.8 (3.4 to 6.3) | <0.05 |
| DP, cm H2O | 13 ± 4 | 9 ± 2 | −4 (-6 to −2) | <0.01 |
| Crs, ml/cm H2O | 33 (24 to 41) | 41 (31 to 51) | 11 (5 to 14) | <0.01 |
| PaO2/FiO2 | 179 ± 108 | 308 ± 90 | 129 (64 to 194) | <0.01 |
| Collapse determined by EIT, % (n = 18) | 38 ± 11 | 7 ± 6 | −31 (-36 to −25) | <0.01 |
| Overdistension determined by EIT, % (n = 18) | 7 ± 7 | 9 ± 6 | 2 (-2 to 6) | 0.33 |
| Regional Crs, ΔZ/cm H2O (n = 10) | ||||
| ROI-1 | 8.9 ± 4.7 | 7.3 ± 2.8 | −1.7 (-3.6 to 0.2) | 0.07 |
| ROI-2 | 19.1 ± 8.1 | 25.5 ± 8.4 | 6.3 (4.3 to 8.4) | <0.01 |
| ROI-3 | 5.1 ± 2.8 | 10 ± 3.2 | 4.9 (2.9 to 6.9) | <0.01 |
Definition of abbreviations: bpm = beats per minute; CI = confidence interval; Crs = respiratory system compliance; ΔZ = delta impedance; DP = driving pressure; EIT = electrical impedance tomography; IBW = ideal body weight; IQR = interquartile range; LungARDSnet = mechanical ventilation guided by the Acute Respiratory Distress Syndrome Network; LungRECRUITED = a sequence of procedures (lung recruitment maneuver → decremental PEEP trial → second lung recruitment maneuver → optimal PEEP) to recruit lung atelectasis; PEEP = positive end-expiratory pressure; PesEXP = end-expiratory pleural pressure; PlE = end-expiratory transpulmonary pressure; ROI = region of interest; RR = respiratory rate.
N = 19 patients.
A median of differences and 98.08% CI are shown for Crs; mean differences and 95% CIs are shown for other categories.