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.
Parameter
Responders ()
Nonresponders ()
P
PaO2/FiO2 baseline, mm Hg
127 ± 50
155 ± 45
0.27
PaO2/FiO2 after RM, mm Hg
158 (136–311)
152 (116–161)
0.29
PaO2/FiO2 stability of RM, mm Hg
152 ± 63
141 ± 44
0.71
PaCO2 baseline, mm Hg
45 ± 8
45 ± 8
0.98
PaCO2 after RM, mm Hg
45 ± 12
49 ± 8
0.25
PaCO2 stability of RM, mm Hg
43 ± 7
48 ± 8
0.27
CI, L/min/m2
0.31
MAP, mm Hg
71 ± 7
96 ± 26
0.06
SVRI, dyn sec cm−5/m2
1717 (1089–1994)
1662 (1285–2271)
0.46
HR, beat/min
95 ± 8
112 ± 29
0.22
GEDVI, mL/m2
702 ± 136
695 ± 130
0.92
EVLWI, mL/kg
0.55
FiO2, %
50 (50–80)
50 (50–60)
0.51
Tidal volume, mL
494 ± 58
444 ± 55
0.14
Minute ventilation, L/min
0.43
Dynamic respiratory compliance, mL/cm H2O
29 (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.