Effect Of Salmeterol/Fluticasone Combination On The Dynamic Changes Of Lung Mechanics In Mechanically Ventilated Copd Patients: A Prospective Pilot Study

Background: The combined therapy of inhaled corticosteroids and long-acting beta-2 agomsts for mechanically ventilated patients with COPD has never been explored. Therefore, the aim of this study was to investigate their dynamic effects on lung mechanics and gas exchange.Materials and methods: Ten mechanically ventilated patients with resolution of the causes of acute exacerbations of COPD were included. Four puffs of salmetero125 mu g/fluticasone 125 lug combination therapy were administered. Lung mechanics, including maximum resistance of the respiratory system (Rrs), end-inspiratory static compliance, peak inspiratory pressure (PIP), plateau pressure, and mean airway pressure along with gas exchange function were measured and analyzed.Results: Salmeterol/fluticasone produced a significant improvement in Rrs and PIP after 30 minutes. With regard to changes in baseline values, sahnetero-Ffluticasone inhalation had a greater effect on PIP than Rrs. However, the therapeutic effects seemed to lose significance after 3 hours of inhaled corticosteroidlong-acting beta-2 agonist administration.Conclusion: The combination of salmeteroll-fluticasone-inhaled therapy in mechanically 'entilated patients with COPD had a significant benefit in reducing Rrs and PIP.