Patient A | Patient B | Patient C | ||||
Pre | Post | Pre | Post | Pre | Post | |
Oxygenation parameters | ||||||
Inspired oxygen fraction | 0.3 | 0.50 | 0.55 | 0.50 | 0.90 | 0.55* |
PEEP, cm H2O | 1 | 6 | 8 | 10 | 10 | 10 |
Arterial pO2, kPa | 10.7 | 18.1 | 10.3 | 9.7 | 13.1 | 8.6* |
Alveolar–arterial difference, kPa | 1.7 | 17.8 | 28.6 | 24.8 | 55.4 | 30.8* |
Ventilatory parameters | ||||||
Plateau inspiratory pressure, cm H2O | 39 | 29 | 27 | 22 | 36 | 28 |
PEEP, cm H2O | 1 | 6 | 8 | 10 | 10 | 10 |
Tidal volume, ml | 179 | 111 | 474 | 316 | 362 | 260 |
Tidal volume, ml/kg | 4.0 | 2.6 | 6.2 | 4.2 | 6.0 | 4.3 |
Respiratory rate, per min | 23 | 12 | 18 | 17 | 16 | 14 |
Minute volume, litres | 4.2 | 3.0 | 8.8 | 6.6 | 5.6 | 3.4 |
Arterial pCO2, kPa | 9.4 | 6.8 | 8.4 | 7.9 | 13.1 | 8.0 |
pH | 7.27 | 7.43 | 7.22 | 7.23 | 7.18 | 7.37 |
*Inhaled nitric oxide was commenced simultaneously for right ventricular dysfunction and concern about the ability of the patient to cope with a litre arteriovenous shunt following institution of arteriovenous extracorporeal carbon dioxide removal (AV-ECCO2R)
Values are those recorded by the nursing staff before (Pre) and after (Post) implantation of the AV-ECCO2R.
Tidal volumes are also expressed relative to actual body weight. The alveolar–arterial difference was calculated from the alveolar gas equation presuming a respiratory quotient of 0.8.
PEEP, positive end-expiratory pressure.