Table 2.
Variable | T0 | H+24 h | H+48 h | ||||||
---|---|---|---|---|---|---|---|---|---|
Ultra-lung-protective group | Lung-protective group | p value | Ultra-lung-protective group | Lung-protective group | p value | Ultra-lung-protective group | Lung-protective group | p value | |
Ventilatory mode ACV/APRV/PSV, n (%) | 19 (95)/1 (5)/0 (0) | 13 (72)/5 (28)/0 (0) | 0.055 | 19 (95)/1 (5)/0 (0) | 13 (72)/5 (28)/0 (0) | 0.055 | 17 (85)/3 (20)/ 0 (0) | 12 (67)/ 6 (33)/ 0 (0) | 0.18 |
No. of patients | 20 | 18 | 20 | 18 | 20 | 18 | |||
Tidal volume (mL/PBW) | 2.6 (1.9–3.8) | 3.5 (2.8–4.2) | 0.04 | 1.8 (1.7–2.0) | 2.9 (2.4–3.9) | < 0.001 | 1.9 (1.6–2.0) | 3.3 (2.4–3.8) | 0.001 |
No. of patients | 18 | 18 | 19 | 18 | 20 | 18 | |||
Respiratory rate (breaths/min) | 13 (10–15) | 15 (11–21) | 0.34 | 10 (10–13) | 15 (12–20) | 0.003 | 10 (10–10) | 15 (11–22) | 0.001 |
No. of patients | 18 | 18 | 20 | 18 | 20 | 18 | |||
PEEP (cmH2O) | 13 (11–14) | 14 (12–15) | 0.38 | 13 (10–16) | 12 (12–15) | 0.73 | 12 (10–15) | 14 (12–14) | 0.23 |
No. of patients | 17 | 16 | 19 | 15 | 18 | 15 | |||
Plateau pressure (cmH2O) | 24 (21–25) | 25 (24–27) | 0.07 | 24 (20–24) | 24 (23–26) | 0.04 | 21 (18–23) | 24 (22–26) | 0.01 |
No. of patients | 17 | 15 | 19 | 15 | 19 | 15 | |||
Minute ventilation (L/min) | 2.2 (1.4–3.0) | 3.1 (2.2–6.1) | 0.03 | 1.3 (1.1–1.4) | 2.8 (2.1–5.1) | < 0.001 | 1.3 (1.1–1.5) | 2.8 (2.1–5.1) | 0.001 |
No. of patients | 18 | 18 | 19 | 18 | 20 | 18 | |||
Driving pressure (cmH2O) | 10 (7–15) | 11 (9–15) | 0.59 | 10 (7–15) | 10 (8–13) | 0.25 | 9 (6–11) | 10 (8–14) | 0.21 |
No. of patients | 17 | 14 | 19 | 13 | 18 | 13 | |||
Respiratory system compliance (mL/cmH2O) | 17 (14–21) | 21 (13–35) | 0.2 | 13 (10–19) | 19 (10–24) | 0.25 | 15 (11–22) | 20 (11–32) | 0.46 |
No. of patients | 17 | 14 | 19 | 13 | 18 | 13 | |||
PL. exp (cmH2O) | 3 (1–4) | 6 (4–6) | 0.07 | 3 (2–5) | − 2 (− 4 to + 5) | 0.2 | 2 (1–3) | 1.5 (− 2 to + 5) | 1 |
No. of patients | 7 | 3 | 11 | 8 | 8 | 8 | |||
Mechanical power (J/min) | 2.7 (1.7–3.9) | 3.9 (2.9–5.6) | 0.04 | 2.5 (2.0–2.6) | 5.3 (3.7–6.5) | < 0.001 | 2.4 (2.2–3.2) | 5.4 (3.3–6.5) | 0.003 |
No. of patients | 12 | 12 | 13 | 13 | 14 | 13 | |||
ECMO blood flow (L/min) | 4 (3.7–5.0) | 4.6 (3.9–5.2) | 0.31 | 4.5 (3.9–4.8) | 4.3 (3.6–5.0) | 0.63 | 4.4 (4.1–5.0) | 4.0 (3.5–5.1) | 0.18 |
No. of patients | 18 | 18 | 20 | 18 | 20 | 18 | |||
Sweep gas flow (L/min) | 4 (3–5) | 3.5 (3–5) | 0.91 | 5 (4–7) | 4 (3.5–6) | 0.34 | 6 (5–7) | 4.5 (3.5–6) | 0.04 |
No. of patients | 18 | 18 | 18 | 18 | 19 | 18 | |||
Membrane FmO2 (%) | 100 (100–100) | 100 (100–100) | 1 | 100 (100–100) | 100 (100–100) | 1 | 100 (100–100) | 100 (100–100) | 1 |
No. of patients | 20 | 18 | 20 | 18 | 20 | 18 | |||
pH | 7.40 (7.36–7.44) | 7.40 (7.34–7.45) | 0.88 | 7.41 (7.37–7.45) | 7.41 (7.36–7.45) | 0.72 | 7.37 (7.35–7.45) | 7.41 (7.34–7.44) | 0.85 |
No. of patients | 17 | 18 | 20 | 18 | 20 | 18 | |||
PaO2 (mmHg) | 82 (69–115) | 97 (73–118) | 0.71 | 82 (68–98) | 81 (69–104) | 0.88 | 75 (69–83) | 81 (68–92) | 0.48 |
No. of patients | 17 | 18 | 20 | 18 | 20 | 18 | |||
PaCO2 (mmHg) | 49 (40–56) | 43 (37–51) | 0.23 | 47 (45–53) | 45 (41–53) | 0.41 | 48 (44–54) | 47 (43–57) | 0.67 |
No. of patients | 17 | 18 | 20 | 18 | 20 | 18 |
Values are expressed as median (interquartile range) or number (%)
ACV assisted controlled ventilation, APRV airway pressure release ventilation, PSV pressure support ventilation, PBW predicted body weight, PEEP positive end-expiratory pressure, PL. exp expiratory transpulmonary pressure
Driving pressure was defined as plateau pressure minus positive end-expiratory pressure. PaO2 = partial pressure of arterial oxygen; PaCO2 = partial pressure of arterial carbon dioxide. FmO2 = fraction of membrane oxygen. Static compliance was defined as tidal volume divided by driving pressure. Expiratory transpulmonary pressure (PL. exp) was calculated as total PEEP minus expiratory esophageal pressure. Mechanical power (MP) was calculated as follows: MP = 0.098 × tidal volume x respiratory rate x (peak airway pressure − ½ × driving pressure)