Table 2.
NoH | HME | HH34 | HH37 | p | |
---|---|---|---|---|---|
Gas exchange | |||||
PaO2/FiO2 ratio, mmHg | 260 [216–320] | 252 [207–317] | 232 [188–303] | 234 [201–292] | 0.73 |
PaCO2, mmHg | 30 [28–36] | 34 [30–37] | 31 [29–35] | 34 [29–38] | 0.46 |
pH | 7.47 [7.42–7.49] | 7.44 [7.41–7.48] | 7.46 [7.42–7.49] | 7.47 [7.41–7.49] | 0.73 |
Gas conditioning, self-assessed symptoms and fog effect | |||||
Absolute humidity, mgH2O/L | 16 [12–19]αβγ | 28 [23–31]αε | 28 [24–31]βζ | 33 [29–38]γζ | < 0.001 |
Relative humidity, % | 52 [40–63]αβγ | 92 [81–97]αε | 96 [83–100]β | 100 [93–100]γε | < 0.001 |
Helmet temperature, °C | 29 [28–30]α | 30 [29–31]ε | 31 [29–32]ζ | 32 [31–33]αεζ | < 0.001 |
Dyspnea, VAS | 2 [1–5] | 3 [1–5] | 4 [1–5] | 4 [1–7] | 0.46 |
Discomfort, VAS | 4 [2–6]γ | 6 [2–7] | 7 [4–8] | 8 [4–10]γ | 0.03 |
Fog effect, 1–3 scale | 0 [0–0]αβγ | 1 [1–3]αε | 2 [1–3]βζ | 3 [3–3]γζ | < 0.001 |
Respiratory mechanics and work of breathing indices | |||||
Patient respiratory rate, bpm | 26 [22–31] | 26 [22–32] | 27 [21–33] | 26 [22–31] | 0.99 |
Ventilator respiratory rate, bpm | 31 [27–36] | 31 [25–34] | 32 [24–34] | 30 [23–33] | 0.43 |
Helmet minute ventilation, L*min−1 | 21 [20–27] | 19 [16–24]δε | 27 [23–30]δ | 24 [20–32]ε | 0.009 |
ΔPES, cmH2O | 7 [4–9] | 9 [5–11] | 6 [4–10] | 7 [5–11] | 0.54 |
ΔPL, cmH2O | 21 [17–23] | 17 [15–21] | 20 [18–23] | 21 [16–24] | 0.21 |
PTPES per minute, cmH2O*sec*min−1 | 82 [40–127] | 109 [32–172] | 74 [34–137] | 61 [39–112] | 0.74 |
Patient–ventilator asynchronies | |||||
Asynchrony index (AI), % | 19 [4–51] | 7 [2–33] | 18 [5–35] | 16 [4–40] | 0.78 |
Ineffective efforts, % | 1 [0–2] | 1 [0–2] | 1 [0–5] | 2 [0–6] | 0.55 |
Proportion of AI due to ineffective efforts, % | 14 [0–71] | 15 [0–63] | 19 [0–64] | 22 [0–61] | 0.99 |
Double cycling, % | 1 [0–5]α | 0 [0–1]αε | 0 [0–3] | 1 [0–3]ε | 0.05 |
Proportion of AI due to double cycling, % | 7 [0–30]α | 0 [0–7]αε | 0.3 [0–12] | 11 [0–26]ε | 0.07 |
Premature expiratory cycling, % | 7 [1–40] | 2 [0–19] | 6 [0–16] | 4 [0–14] | 0.72 |
Proportion of AI due to premature expiratory cycling, % | 42 [9–80] | 24 [0–74] | 22 [6–56] | 21 [13–56] | 0.66 |
Autotriggering, % | 0 [0–1]βγ | 0 [0–2]δ | 1 [0–8]βδ | 1 [0–6]γ | 0.03 |
Proportion of AI due to autotriggering, % | 0 [0–2]βγ | 2 [0–30] | 14 [2–28]β | 16 [3–39]γ | 0.01 |
Hemodynamics | |||||
Heart rate, bpm | 83 [80–109] | 90 [75–108] | 90 [75–108] | 90 [76–106] | 0.98 |
Mean arterial pressure, mmHg | 87 [73–104] | 88 [78–106] | 88 [72–101] | 83 [74–103] | 0.61 |
Data are expressed as median [interquartile range]
α indicates a p < 0.05 for paired comparisons between NoH and HME
β indicates a p < 0.05 for paired comparisons between NoH and HH34
γ indicates a p < 0.05 for paired comparisons between NoH and HH37
δ indicates a p < 0.05 for paired comparisons between HME and HH34
ε indicates a p < 0.05 for paired comparisons between HME and HH37
ζ indicates a p < 0.05 for paired comparisons between HH34 and HH37