Table 2.
Effect of high positive end-expiratory pressure with recruitment manoeuvres vs. low positive end-expiratory pressure on respiratory parameters in obese patients
| Low PEEP | High PEEP | High PEEP | ||
| Variable | (n = 79) | (n = 83) | End recruitment | P a |
| Tidal volume ml kg-1 PBW-1 | ||||
| Post induction | 7.2 ± 0.9 | 7.3 ± 0.8 | 14.2 ± 2.4 | 0.824 |
| 60 min | 7.2 ± 0.9 | 7.3 ± 0.8 | 14.5 ± 2.4 | 0.616 |
| 120 min | 7.2 ± 0.9 | 7.2 ± 0.8 | 14.3 ± 2.5 | 0.840 |
| 180 min | 7.3 ± 0.9 | 7.4 ± 0.9 | 13.9 ± 3.0 | 0.462 |
| Plateau pressure, cmH2O | ||||
| Post induction | 24.2 ± 4.4 | 26.1 ± 4.0 | 35.0 ± 4.1 | 0.004 |
| 60 min | 24.4 ± 4.2 | 26.1 ± 4.2 | 35.4 ± 3.8 | 0.012 |
| 120 min | 25.1 ± 4.1 | 26.4 ± 4.0 | 35.5 ± 5.0 | 0.038 |
| 180 min | 25.0 ± 4.3 | 26.7 ± 3.8 | 35.4 ± 4.7 | 0.008 |
| Fractional inspiratory oxygen concentration, % | ||||
| Post induction | 0.45 ± 0.06 | 0.44 ± 0.05 | 0.44 ± 0.05 | 0.215 |
| 60 min | 0.45 ± 0.06 | 0.41 ± 0.02 | 0.41 ± 0.02 | 0.001 |
| 120 min | 0.45 ± 0.06 | 0.41 ± 0.02 | 0.41 ± 0.02 | <0.001 |
| 180 min | 0.45 ± 0.06 | 0.41 ± 0.01 | 0.41 ± 0.01 | <0.001 |
| End-tidal carbon dioxide fraction, % | ||||
| Postinduction | 5.4 ± 0.4 | 5.4 ± 0.4 | 5.0 ± 0.2 | 0.825 |
| 60 min | 5.5 ± 0.4 | 5.5 ± 0.4 | 5.0 ± 0.3 | 0.945 |
| 120 min | 5.6 ± 0.4 | 5.5 ± 0.5 | 4.9 ± 0.3 | 0.876 |
| 180 min | 5.7 ± 0.3 | 5.6 ± 0.4 | 5.0 ± 0.3 | 0.892 |
| Driving pressure, cmH2O | ||||
| Post induction | 20.2 ± 4.4 | 14.1 ± 4.0 | 23.0 ± 4.1 | < 0.001 |
| 60 min | 20.4 ± 4.2 | 14.1 ± 4.2 | 23.4 ± 3.8 | < 0.001 |
| 120 min | 21.1 ± 4.1 | 14.5 ± 4.2 | 23.5 ± 5.0 | < 0.001 |
| 180 min | 21.0 ± 4.3 | 14.7 ± 3.8 | 23.4 ± 4.7 | < 0.001 |
| Compliance, ml cmH2O-1 | ||||
| Post induction | 26.4 ± 7.0 | 31.6 ± 9.1 | 38.9 ± 10.6 | < 0.001 |
| 60 min | 25.6 ± 5.5 | 32.5 ± 11.2 | 39.0 ± 10.2 | < 0.001 |
| 120 min | 24.2 ± 4.5 | 30.8 ± 8.4 | 39.2 ± 10.0 | < 0.001 |
| 180 min | 22.8 ± 4.2 | 30.2 ± 7.5 | 39.8 ± 9.9 | < 0.001 |
Data are presented as mean ± standard deviation.
PBW, predicted body weight.
High PEEP vs. low PEEP.