Extra corporeal membrane oxygenation to facilitate lung protective ventilation and prevent ventilator-induced lung injury in severe Pneumocystis pneumonia with pneumomediastinum: a case report and short literature review

Table 1 Ventilator and ECMO parameters

	Pre-Intubation	Post-Intubation	ECMO Day 1	ECMO Day 2	ECMO Day 3	ECMO Day 4	ECMO Day 5	ECMO Day 6
Mode of Ventilation	PSV (NIV)	PCV	PCV	PCV	PCV	PSV	PSV	PSV
RR	40	35	10	10	10	25	25	22
PIP	16	35	15	15	15	13	11	11
PEEP	4	10	5	5	5	3	3	3
VT	-	225	90	200	400	400	360	370
FiO₂	40 %	45 %	21 %	21 %	21 %	30 %	30 %	30 %
P/F ratio	-	200	-	-	-	-	-	-
Blood Flow	-	-	4	3.78	3.75	3.7	3.6	3.6
Sweep Flow	-	-	4	2.5	1.0	0.5	0	0
pH	7.46	7.01	7.44	7.39	7.42	7.47	7.5	7.5
PaO₂	73	90	83	161	114	70	74	86
PaCO₂	44	109	49	43	45	38	33	35

RR Respiratory rate, PIP Peak Inspiratory Pressure (cm H₂O), PEEP Positive End Expiratory Pressure (cm H₂O), VT Tidal volume (mL), FiO ₂ Fraction of inspired oxygen (%), P/F ratio Ratio of partial pressure arterial oxygen and fraction of inspired oxygen (mm Hg), PaO ₂ Partial pressure of oxygen in arterial blood (mm Hg), PaCO ₂ Partial pressure of carbon dioxide in arterial blood (mm Hg), NIV Non Invasive Ventilation, PSV Pressure Support Ventilation, PCV Pressure Control Ventilation

ISSN: 1471-2466