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Table 2 Gas exchanges and respiratory mechanics

From: Effect of high-frequency oscillatory ventilation on esophageal and transpulmonary pressures in moderate-to-severe acute respiratory distress syndrome

 

CMVpre

HFO + 5

HFO + 10

HFO + 15

CMVpost

p value time

mPaw (cm of H2O)

18 ± 4a,b,c

23 ± 4b,c,d,e

28 ± 4a,c,d,e

33 ± 4a,b,d,e

17 ± 4a,b,c

<0.001

PaO2/inspired O2 fraction (mmHg)

131 ± 51

132 ± 56

125 ± 23

138 ± 49

139 ± 34

0.9

Inspired O2 fraction

74 ± 17

71 ± 16

72 ± 16

77 ± 18

67 ± 10d

0.03

Arterial pH

7.29 ± 0.04

7.31 ± 0.09

7.31 ± 0.01

7.29 ± 0.1

7.32 ± 0.06

0.3

PaCO2 (mmHg)

46 ± 7

47 ± 12

46 ± 14

46 ± 9

42 ± 7

0.5

PEEP (cm of H2O)

13 ± 3

NA

NA

NA

12 ± 3

0.4

V t (ml/kg)

6.6 ± 0.7

NA

NA

NA

6.7 ± 0.8

0.2

Plateau airway pressure (cm of H2O)

24.5 ± 4

NA

NA

NA

23.5 ± 4

0.06

Driving pressure (cm of H2O)

11.8 ± 3.4

NA

NA

NA

11.5 ± 3.3

0.4

Power of oscillations, %

NA

73 ± 23

79 ± 29

81 ± 24

NA

0.1

Respiratory rate (cycle/min)

26 ± 4

NA

NA

NA

25 ± 6

1

Oscillatory frequency (Hz)

NA

4.8 ± 1

4.7 ± 0.7

4.6 ± 1

NA

0.2

Inspiratory esophageal pressure

15 [11.5; 21.2]

NA

NA

NA

14 [10.2; 17.2]

0.1

Expiratory esophageal pressure

12.5 [5.1; 13.5]

NA

NA

NA

9.1 [5.4; 13.5]

0.1

Mean esophageal pressure (cm of H2O)

NA

12.4 [10.6; 16.7]b,c

16.7 [12.5; 18.7]a,c

19.1 [16.7; 23.3]a,b

NA

0.001

Inspiratory P L (cm of H2O)

8.1 [5.7; 12.8]

NA

NA

NA

11.8 [5; 12.1]

1

Expiratory P L (cm of H2O)

−1 [−3; + 0.7)

NA

NA

NA

+3.5 [−3; + 6]

0.2

Mean P L (cm of H2O)

NA

10.5 [7.3; 13.8]c

13.1 [9.2; 14.7]

14 [11.5; 16.3]a

NA

0.001

Respiratory system elastance (cm of H2O/L)

31.2 ± 9.7

NA

NA

NA

29.9 ± 8

0.2

Chest wall elastance (cm of H2O/L)

15.7 ± 6

NA

NA

NA

11.1 ± 4.5

0.3

Pulmonary elastance (cm of H2O/L)

15.9. ± 11

NA

NA

NA

18.9 ± 6

0.3

  1. P L transpulmonary pressure, NA not applicable
  2. p values in italic are provided for < 0.05
  3. ap < .05 vs. HFO + 5, b p < .05 vs. HFO + 10, c p < .05 vs. HFO + 15, d p < .05 vs. CMVpre, e p < .05 vs. CMVpost