Clinical Study

Increased Extravascular Lung Water Reduces the Efficacy of Alveolar Recruitment Maneuver in Acute Respiratory Distress Syndrome

Table 2

Arterial blood gases, hemodynamics and parameters of mechanical ventilation in responders and nonresponders to lung recruitment maneuver.

ParameterResponders ( )Nonresponders ( )P

PaO2/FiO2 baseline, mm Hg127 ± 50155 ± 450.27
PaO2/FiO2 after RM, mm Hg158 (136–311)152 (116–161)0.29
PaO2/FiO2 stability of RM, mm Hg152 ± 63141 ± 440.71
PaCO2 baseline, mm Hg45 ± 845 ± 80.98
PaCO2 after RM, mm Hg45 ± 1249 ± 80.25
PaCO2 stability of RM, mm Hg43 ± 748 ± 80.27
CI, L/min/m2 0.31
MAP, mm Hg71 ± 796 ± 260.06
SVRI, dyn sec cm−5/m21717 (1089–1994)1662 (1285–2271)0.46
HR, beat/min95 ± 8112 ± 290.22
GEDVI, mL/m2702 ± 136695 ± 1300.92
EVLWI, mL/kg 0.55
FiO2, %50 (50–80)50 (50–60)0.51
Tidal volume, mL494 ± 58444 ± 550.14
Minute ventilation, L/min 0.43
Dynamic respiratory compliance, mL/cm H2O29 (26–62)28 (24–35)0.39

Data are presented as mean ± standard deviation or median (25th–75th percentile).
RM: recruitment maneuver; CI: cardiac index; MAP: mean arterial pressure; SVRI: systemic vascular resistance index; HR: heart rate; GEDVI: global end-diastolic volume index; EVLWI: extravascular lung water index.