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Table 3 Respiratory therapy record (GSA programming and control)—conventional mechanical ventilation with esophageal balloon

From: An assessment of esophageal balloon use for the titration of airway pressure release ventilation and controlled mechanical ventilation in a patient with extrapulmonary acute respiratory distress syndrome: a case report

Day / round number

Day 2 / 5

Day 3 /1

Day 3 / 2

Day 3 / 3

Day 3 / 4

Day 4 / 1

Day 4 / 2

Day 4 / 3

Day 4 / 4

Day 4 / 5

Day 4 / 6

Mechanical ventilator modality

AC/VC

AC/VC

AC/VC

AC/VC

APRV

APRV

APRV

APRV

APRV

AC/VC

AC/VC

Programmed respiratory frequency (revolutions per minute)

22

18

18

18

16

16

16

13

11

22

22

Total respiratory frequency (revolutions per minute)

22

18

19

18

22

21

20

25

25

25

23

Programmed tidal volume (ml)

370

440

440

440

320

320

Expiratory tidal volume (liters per minute)

360

440

420

435

360

440

470

520

500

350

355

Expiratory minute volume (liters per minute)

7.8

7.1

7.1

7.0

7.4

8.5

9.7

8.9

8.3

7.9

8.05

Inspiratory flux (liters per minute)

30

50

50

50

30

30

Expiratory time (seconds)

1.7

2.47

2.47

2.47

0.6

0.6

3.1

5

5

0.64

0.64

Peak pressure (cmH2O)

34

26

24

24

25

25

29

29

29

28

28

PEEP High (APRV) (cmH2O)

20

22

22

26

26

Plateau pressure (cmH2O)

35

31

28

28

22

21

Mean airway pressure (cmH2O)

25

20

19

19

21

22

22

26

26

21

21

PEEP / PEEP Low (APRV) (cmH2O)

20

16

15

15

10

10

12

12

12

18

18

Support pressure (cmH2O)

4

5

5

2

2

FiO2 (%)

100

100

90

80

80

80

70

80

80

80

60

SpO2 (%)

95

96

100

  

100

99

100

100

100

97

Respiratory system compliance (Static)

 

30

32

45

42

PLend-insp (cmH2O)

11

13

8

  

13

13

17

12

7

5

Plend-exp (cmH2O)

0

2

−2

  

−2

−2

−1

−1

1

2

pH

7.35

7.4

7.43

7.44

7.41

7.46

7.49

7.47

7.45

7.43

7.39

PCO2 (mmHg)

37.6

41.4

38.5

40.3

41.4

36.1

32.8

33.7

35

37.2

40.1

PO2 (mmHg)

69.9

96.7

94.6

92

82.3

103.3

63.6

90

86.1

141.5

87.4

HCO3 (mmol/L)

22.4

25.4

25.4

26.8

27.1

25.3

24.5

24.2

23.9

24.5

24.1

B.E.

−2.1

−0.6

1.3

2.6

1.2

1.8

1.9

1.2

0.5

0.6

−0.6

Sat O2 (%)

94

97.4

97.5

97.3

96.2

98

94.1

97.4

97

98.9

96.6

PaO2/FiO2

69.9

96.7

105.1

115

102

128

90

112

107

176

145

Iox

35.7

20.6

18.07

16.5

20.5

17.1

24.4

23?

24.2

11.9

14.4

  1. AC/VC: Volume-controlled assisted modality; APRV: Airway pressure release ventilation; PEEP: Positive end-expiratory pressure; FiO2: Fraction of inspired oxygen; PLend-insp: Transpulmonary pressure during end inspiration; PLend-exp: Transpulmonary pressure during end expiration; SpO2: Pulse oximetry saturation; PCO2: Arterial partial pressure of carbon dioxide; PO2: Arterial partial pressure of oxygen HCO3: Bicarbonate; B.E: Base excess; SaO2: Arterial oxygen saturation; Iox: Oxygenation Index