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. 2021 Mar 1;203(5):575–584. doi: 10.1164/rccm.201909-1687OC

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.