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Table 2 Variations in the Breathing Pattern during Decrease of Extracorporeal Membrane Oxygenation Support in COVID-19 Patients Undergoing Pressure Support

From: The level of partial pressure of carbon dioxide affects respiratory effort in COVID-19 patients undergoing pressure support ventilation with extracorporeal membrane oxygenation

Characteristic

Baseline

High-CO2

P value

ECMO GF (l/min)

5.8(5.0–6.0)

2.9(2.5-3.0)

0.0020

PMI(cmH2O)

3.0 ± 1.4

6.5 ± 2.1

< 0.0001

ΔPOCC(cmH2O)

5.6(4.7-8.0)

11.1(8.5–13.1)

0.0020

RR(bpm)

13 ± 2

15 ± 2

0.0266

MVe (l/min)

3.6 ± 1.3

5.3 ± 1.5

< 0.0001

Vt (ml/kg)

4.1 ± 1.2

5.3 ± 1.5

0.0003

pH

7.42 ± 0.06

7.41 ± 0.05

0.1297

PaCO2 (mmHg)

36(36–37)

42(41–43)

0.0020

PaO2 (mmHg)

94(87–109)

93(85–106)

0.5742

Arterial Lactate(mmol/L)

1.6 ± 0.4

1.8 ± 0.5

0.1488

HR(bpm)

82 ± 14

89 ± 14

0.0078

MAP(mmHg)

88 ± 11

92 ± 10

0.1776

NE(ug/kg/min)

0.09 ± 0.10

0.09 ± 0.10

> 0.99

Fentanyl (ug/h)

60(56–75)

60(56–75)

> 0.99

Propofol (mg/h)

60(30–55)

60(30–55)

> 0.99

Midazolam(mg/h)

3 ± 2

3 ± 2

> 0.99

  1. Values are given as mean + standard deviation or median (interquartile range)
  2. ECMO: Extracorporeal Membrane Oxygenation; GF: gas flow; PMI: pressure muscle index; ΔPOCC: the airway pressure swing during the occlusion; RR: respiratory rate; MVe: minute volume expiration; Vt: tidal volume; PaCO2: partial pressure of carbon dioxide in arterial blood gas; PaO2: Oxygen partial pressure of arterial blood gas; HR: heart rate; MAP: mean arterial pressure; NE: norepinephrine