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Table 2 Results PCV (baseline) vs. optimized FCV (step 3)

From: Flow-controlled ventilation decreases mechanical power in postoperative ICU patients

 

PCV baseline

Median (IQR)

FCV step 3

Median (IQR)

p value

Respiratory parameters

 Inspiratory TV/IBW (mL)

6.0 (5.5–7.1)

8.4 (7.9–8.7)

0.004

 Driving pressure (cmH2O)

9.2 (7.7–11.7)

11.9 (9.8–14.0)

0.031

 PEEP set (cmH2O)

7.5 (6.4–8.0)

8.0 (5.8–8.0)

1.000

 PEEP total (cmH2O)

8.3 (7.5–9.2)

8.4 (7.5–10.1)

1.000

 Ppeak set (cmH2O)

20.0 (18.8–22.0)

20.5 (19.8–24.3)

0.281

 Ppeak measured (cmH2O)

18.6 (16.8–21.5)

21.1 (20.2–24.9)

0.012

 Pplat (cmH2O)

17.5 (16.2–20.5)

20.0 (19.0–24.0)

0.011

 Pmean (cmH2O)

12.6 (11.0–13.4)

14.7 (13.0–16.9)

 < 0.001

 Crs static (mL/cmH2O)

44.5 (36.1–52.7)

47.0 (39.7–51.8)

1.000

 Resistance (cmH2O/L/s)

13.8 (12.4–14.9)

8.2 (6.8–9.1)

0.002

 RR (x/min)

18 (17.5–20.0)

8.5 (7.6–13.1)

 < 0.001

 Minute volume (L/min)

8.0 (6.5–8.4)

4.8 (4.4–7.3)

0.001

 Mechanical power (J/min)

11.0 (8.5–12.8)

7.7 (5.7–11.4)

0.004

 Mechanical power, bedside formulas (J/min)

13.2 (10.5–15.2)

8.0 (5.9–11.6)

0.003

 Dissipated energy (J/L)

0.34 (0.21–0.43)

0.20 (0.16–0.27)

0.009

Gas exchange parameters

 P/F ratio

324 (241–365)

300 (273–369)

1.000

 PaO2 (kPa)

14.3 (12.9–17.7)

13.1 (12.0–13.9)

0.212

 PaCO2 (kPa)

5.4 (5.1–6.2)

5.3 (5.1–5.9)

0.791

 Ventilatory ratio

1.20 (1.11–1.31)

0.75 (0.67–1.15)

0.001

Hemodynamic parameters

 Arterial-venous delta CO2 (kPa)

1.06 (0.86–1.13)

0.82 (0.77–1.09)

1.000

 ScvO2 (%)

71.2 (64.7–75.8)

69.1 (64.1–76.0)

1.000

 Dose noradrenalin (ug/kg/min)

0.11 (0.05–0.16)

0.13 (0.04–0.16)

1.000

  1. Crs Compliance respiratory system, FCV flow-controlled ventilation, IBW ideal body weight, IQR inter quartile range, PCV pressure-controlled ventilation, Ppeak peak pressure, PEEP positive end-expiratory pressure, Pmean mean airway pressure, Pplat plateau pressure, PaO2 arterial partial oxygen pressure, PaCO2 arterial partial carbon dioxide pressure, P/F ratio PaO2/FiO2 ratio, RR Respiratory Rate, ScvO2 central venous oxygen saturation, TV tidal volume