Skip to main content
. 2022 Dec 12;26:383. doi: 10.1186/s13054-022-04272-x

Table 2.

Ventilator and ECMO settings, respiratory mechanics, and gas exchanges from T0 to H + 48 h

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)