Respiratory failure & ventilation

Serial electrical impedance tomography course in different treatment groups; The MaastrICCht cohort

J Crit CarePublished Prospective observational cohort study

Main finding · Optimal set PEEPResult — go to the resultDifference −1.4 cmH2O CI −2.6 to −0.2

Authors' conclusion

Optimal and clinically applied PEEP were lower in the dexamethasone and dexamethasone + tocilizumab groups.

Study context

Population
Mechanically ventilated COVID-19 patients (MaastrICCht cohort)
Exposure
Dexamethasone vs No anti-inflammatory therapy
Outcome
Regional lung mechanics by electric impedance tomography (EIT) (dynamic compliance, alveolar overdistension and collapse) over admission
Methodological detailsserial electrical impedance tomography, linear mixed-effects models
  • Serial electrical impedance tomography
  • Linear mixed-effects models

Main finding

Optimal set PEEP

Difference

−1.4 cmH2O

CI −2.6 to −0.2

Dexamethasone vs No anti-inflammatory therapy
difference −1.4 cmH2O (CI −2.6 to −0.2)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeDifference (cmH2O) (CI)
Clinically applied PEEPDexamethasone vs No anti-inflammatory therapy−1.5 (−2.6 to −0.2)
Clinically applied PEEPDexamethasone + tocilizumab vs No anti-inflammatory therapy−2.2 (−5.1 to 0.6)

Original publication

Serial electrical impedance tomography course in different treatment groups; The MaastrICCht cohort. J Crit Care. Published 18 December 2023. doi:10.1016/j.jcrc.2023.154506

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