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Table 2 Effects of positive pressure (NRB vs Helmet-CPAP)

From: Effects of CPAP and FiO2 on respiratory effort and lung stress in early COVID-19 pneumonia: a randomized, crossover study

Group

COVID-19 patients (N = 28)

Healthy controls (N = 7)

Respiratory support

NRB

Helmet-CPAP

p

NRB

Helmet-CPAP

p

Respiratory effort, cmH2O

5.0 ± 3.7

8.3 ± 3.9

 < 0.01

2.7 ± 0.8

6.7 ± 0.9

0.02

Helmet’s pressure drop, cmH2O

0 ± 0

−3.1 ± 1.0

 < 0.01

0 ± 0

-2.5 ± 0.6

 < 0.01

Dynamic stress, cmH2O

5.0 ± 3.8

4.9 ± 3.8

0.97

2.7 ± 0.8

4.2 ± 0.5

0.03

Static stress, cmH2O

0 ± 0

0.9 ± 2.4

0.07

0 ± 0

1.5 ± 2.0

0.08

Total stress, cmH2O

5.0 ± 3.8

5.7 ± 5.0

0.09

2.7 ± 0.8

5.7 ± 2.0

0.02

Respiratory Rate, bpm

25 ± 5

25 ± 5

0.33

14 ± 2

14 ± 5

0.93

Work of breathing Scale (WOB)

2 ± 1

3 ± 1

0.37

1 ± 0

2 ± 0

 < 0.01

Borg dyspnea scale

0 ± 0

0 ± 0

0.16

0 ± 0

0 ± 0

 > 0.99

PaO2, mmHg

107 ± 55

156 ± 57a

 < 0.01

/

/

/

SaO2, %

95 ± 6

96 ± 4

 < 0.01

/

/

/

PaCO2, mmHg

36 ± 4

36 ± 3

0.23

/

/

/

pH

7.46 ± 0.02

7.46 ± 0.03

0.19

/

/

/

Systolic blood pressure, mmHg

136 ± 22

134 ± 19

0.54

116 ± 15

129 ± 11

0.06

Diastolic blood pressure, mmHg

77 ± 15

79 ± 12

0.50

70 ± 8

87 ± 10

0.02

Heart Rate, bpm

75 ± 14

74 ± 12

0.85

73 ± 9

75 ± 14

0.83

Cardiac index, L/min/m2

3.2 ± 0.7

2.9 ± 0.5

0.02

3.4 ± 0.6

3.2 ± 0.5

0.09

Oxygen delivery, ml/min/m2a

577 ± 125

555 ± 115

0.18

/

/

/

  1. aSee Fig. 3 for details about single Helmet-CPAP steps with different positive pressures and FiO2. Measurement of airway pressure was missing in one patient
  2. NRB non-rebreather mask, CPAP continuous positive airway pressure, PaO2 partial pressure of arterial oxygen, SaO2 percentage of oxygen saturated hemoglobin in arterial blood, PaCO2 partial pressure of arterial carbon dioxide