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Table 4 Respiratory therapy record—conventional mechanical ventilation with esophageal balloon and weaning

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 5 / 1

Day 5 / 1

Day 5 / 3

Day 6 / 1

Day 6 / 2

Day 6 / 3

Day 7 / 1

Day 7 / 2

Day 7 / 3

Day 7 / 4

Mechanical ventilator modality

AC/PC

AC/PC

AC/PC

AC/PC

CPAP/PSV

CPAP/PSV

CPAP/PSV

CPAP/PSV

CPAP/PSV

CPAP/PSV

Programmed respiratory frequency (revolutions per minute)

16

15

15

15

Total respiratory frequency (revolutions per minute)

16

15

15

15

18

18

16

23

28

24

Programmed tidal volume (cmH2O)

12

12

12

12

Expiratory tidal volume (ml)

440

440

430

430

546

560

520

430

390

380

Expiratory minute volume (liters per minute)

6.9

6.7

6.3

6.3

8.2

10.6

8.9

10.1

8.7

9

Inspiratory time (seconds)

0.9

0.9

0.9

0.9

Expiratory time (seconds)

0.64

0.9

0.9

0.9

0.9

Maximum pressure (cmH2O)

28

25

25

25

25

24

24

15

12

13

Plateau pressure (cmH2O)

22.5

22.8

24

24

Mean airway pressure (cmH2O)

16

16

16

16

17

17

17

11

8

8

PEEP / PEEP Low (APRV) (cmH2O)

12

12

12

12

12

12

14

8

5

5

Support pressure (cmH2O)

?

12

12

10

7

7

FiO2 (%)

35

35

35

35

35

35

40

35

30

30

SpO2 (%)

100

100

100

100

100

96

98

100

100

100

Respiratory system compliance (Static)

34

34

34

PLend-insp (cmH2O)

8

12

8

10

      

Plend-exp (cmH2O)

0

1

0

3

      

pH

7.47

7.41

7.42

7.42

7.48

7.49

7.47

PCO2 (mmHg)

32.4

28.9

35.5

37.1

29.9

29.8?

32.8

PO2 (mmHg)

82

76.7

75.2

79.6

57.9

74.2

98.9

HCO3 (mmol/L)

23.1

24.1

22.9

23.9?

22

22.2

23.3

B.E.

0.2

−0.3

−0.8

−0.2

−0.2

0

0.5

Sat O2 (%)

96.8

95.5

95.5

94.7?

92.4

96.1

97.9

PaO2/FiO2

234

219

214

206?

165

185.5

282.5

Iox

6.8

7.3

7.5

7.8

10.3

9.1

3.8

  1. AC/PC: Pressure-controlled assisted modality; CPAP: Continuous positive airway pressure; PSV: support pressure 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