Mechanical Power in Prone Position Intubated Patients with COVID-19-Related ARDS: A Cohort Study
Table 2
Ventilatory settings and monitoring parameters during pre-, first-, and last-prone sessions.
Variables
Survivors
Nonsurvivors
value
Effects ( value)
Survival
Time
Survival × time
Mechanical power (J/min)
0.004
0.004
0.009
Preprone
26.0 ± 2.34a
29.2 ± 2.64a
0.073
First prone
25.7 ± 2.0a
26.9 ± 2.4a
0.445
Last prone
26.0 ± 2.3a
32.9 ± 2.8b
<0.001
Ventilatory ratio
<0.001
<0.001
0.009
Preprone
2.0 ± 0.14a
2.4 ± 0.2a
<0.001
First prone
2.1 ± 0.16ab
2.5 ± 0.17a
<0.001
Last prone
2.2 ± 0.16b
3.0 ± 0.24b
<0.001
PaO2/FiO2 ratio
0.001
<0.001
0.001
Preprone
115.0 ± 4.0a
117.0 ± 3.0a
0.144
First prone
270.0 ± 20.0b
202.0 ± 11.0b
0.003
Last prone
283.0 ± 20.0b
181.0 ± 11.0b
<0.001
Driving pressure (cm H2O)
0.570
<0.001
0.467
Preprone
13.6 ± 0.45b
13.6 ± 0.51b
0.971
First prone
11.7 ± 0.5a
12.3 ± 0.5a
0.360
Last prone
11.6 ± 0.54a
12.5 ± 0.78ab
0.325
PEEP (cm H2O)
0.794
0.008
0.089
Preprone
12.0 ± 0.26a
12.0 ± 0.4b
0.929
First prone
12.0 ± 0.24a
11.4 ± 0.39a
0.185
Last prone
12.3 ± 0.33a
12.6 ± 0.42b
0.643
Tidal volume (ml/kg PBW)
0.842
0.435
0.397
Preprone
6.6 ± 0.13a
6.8 ± 0.15a
0.329
First prone
6.6 ± 0.12a
6.7 ± 0.15a
0.797
Last prone
6.5 ± 0.11a
6.7 ± 0.14a
0.378
Respiratory rate (mpm)
0.025
<0.001
0.482
Preprone
23.7 ± 3.6a
25.2 ± 3.7a
0.045
First prone
25.2 ± 3.4a
26.2 ± 3a
0.136
Last prone
25.8 ± 3.5a
27.4 ± 3.7a
0.04
PaO2 = arterial oxygen pressure; FiO2 = inspired oxygen; PEEP = end-expiratory positive pressure.Mean ± standard deviation. values adjusted by SAPS III, number of days on MV, and number of prone maneuvers and age; abequal letters do not differ by the least significant difference (LSD) test at 5% significance.