Research Article

Pressure-Controlled Ventilation-Volume Guaranteed Mode Combined with an Open-Lung Approach Improves Lung Mechanics, Oxygenation Parameters, and the Inflammatory Response during One-Lung Ventilation: A Randomized Controlled Trial

Table 3

Ventilatory parameters, respiratory system mechanics, blood gas, and oxygenation parameters.

PCV+OLA
()
PCV
()
VCV+OLA
()
VCV
()

(mL)
 T1432.00 (405.00, 475.00)429.50 (404.50, 499.75)445.00 (399.50, 502.00)449.50 (410.25, 503.25)0.841
 T20.451
 T3431.00 (408.00, 500.50)442.50 (411.50, 502.00)452.00 (405.00, 503.00)441.00 (407.00, 507.25)0.936
PEEP (cmH2O)
 T15.005.005.005.00
 T28.00 (8.00, 10.00)5.0010.00 (8.00, 12.00)5.00<0.001
 T38.00 (8.00, 10.00)5.0010.00 (8.00, 12.00)5.00<0.001
(cmH2O)
 T10.255
 T221.00 (20.00, 22.00)△▲22.00 (19.25, 23.00)△▲24.00 (23.00, 25.00)23.00 (21.00, 25.00)<0.001
 T3<0.001
(cmH2O)
 T110.00 (9.00, 11.00)10.00 (9.00, 11.00)10.00 (9.00, 11.00)10.00 (9.00, 11.00)0.245
 T213.00 (12.00, 13.00)11.00 (10.00, 12.00)12.00 (12.00, 14.00)11.00 (10.00, 12.00)<0.001
 T312.00 (11.00, 13.00)11.00 (10.00, 12.00)12.00 (11.00, 13.00)10.00 (8.00, 11.00)<0.001
Cdyn (mL/cmH2O)
 T10.943
 T227.00 (24.00, 32.00)23.00 (21.00, 25.00)27.00 (22.00, 30.00)20.00 (18.75, 21.00)<0.001
 T30.001
PaCO2 (mmHg)
 T10.345
 T20.485
 T343.00 (39.50, 47.00)45.00 (41.00, 47.00)46.00 (41.00, 48.00)44.00 (41.00, 47.25)0.455
pH
 T10.402
 T27.38 (7.35, 7.40)7.38 (7.35, 7.42)7.37 (7.39, 7.40)7.38 (7.35, 7.41)0.633
 T30.796
 T10.210
 T20.003
 T30.16 (0.13, 0.21)0.20 (0.17, 0.24)0.19 (0.14, 0.22)0.21 (0.17, 0.24)<0.001
Qs/Qt
 T10.873
 T20.17 (0.16, 0.19)0.19 (0.18, 0.20)0.18 (0.17, 0.19)0.19 (0.17, 0.20)0.006
 T30.280
PaO2/FiO2 ratio
 T10.875
 T2173.75 (138.13, 221.87)153.13 (109.38, 185.94)166.25 (146.25, 200.63)134.38 (106.25, 180.63)0.002
 T30.264

Data are expressed as (SD) or median (interquartile range). : tidal volume; T1: total-lung ventilation 10 min after induction; T2: one-lung ventilation 45 min; T3: total-lung ventilation 10 min after one-lung ventilation; PEEP: positive end-expiratory pressure; : peak airway pressure; : mean airway pressure; Cdyn: dynamic compliance; PaCO2: partial pressure of arterial carbon dioxide; : dead space fraction; Qs/Qt: intrapulmonary shunt ratio; PaO2/FiO2: arterial partial pressure of oxygen/fraction of inspired oxygen. versus PCV, versus VCV+OLA, and versus VCV.