Neurally-adjusted Ventilatory Assist

نویسنده

  • C. Sinderby
چکیده

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Initiation of the Neurally Adjusted Ventilatory Assist Mode in the Neonatal Period in Iran

Abstract: The new neonatal ventilation methods have been developed along with utilization of new technological tools.This device is synchronized with the patient’s respiratory efforts. The ideal synchronized breath needs to be synchronous with initiation, size, and termination of the breath without delay in detecting of initial resiratory effort by device .The synchrony of respiration contribut...

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Neurally adjusted ventilatory assist

PURPOSE OF REVIEW Compared with the conventional forms of partial support, neurally adjusted ventilatory assist was repeatedly shown to improve patient-ventilator synchrony and reduce the risk of overassistance, while guaranteeing adequate inspiratory effort and gas exchange. A few animal studies also suggested the potential of neurally adjusted ventilatory assist in averting the risk of ventil...

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A prospective crossover comparison of neurally adjusted ventilatory assist and pressure-support ventilation in a pediatric and neonatal intensive care unit population.

OBJECTIVE To compare neurally adjusted ventilatory assist ventilation with pressure-support ventilation. DESIGN Prospective, crossover comparison study. SETTING Tertiary care pediatric and neonatal intensive care unit. PATIENTS Sixteen ventilated infants and children: mean age = 9.7 months (range = 2 days-4 yrs) and mean weight = 6.2 kg (range = 2.4-13.7kg). INTERVENTIONS A modified nas...

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Impact of prolonged assisted ventilation on diaphragmatic efficiency: NAVA versus PSV

BACKGROUND Prolonged controlled mechanical ventilation depresses diaphragmatic efficiency. Assisted modes of ventilation should improve it. We assessed the impact of pressure support ventilation versus neurally adjusted ventilator assist on diaphragmatic efficiency. METHOD Patients previously ventilated with controlled mechanical ventilation for 72 hours or more were randomized to be ventilat...

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Proportional assist ventilation and neurally adjusted ventilatory assist.

Patient-ventilator synchrony is a common problem with all patients actively triggering the mechanical ventilator. In many cases synchrony can be improved by vigilant adjustments by the managing clinician. However, in most institutions clinicians are not able to spend the time necessary to ensure synchrony in all patients. Proportional assist ventilation (PAV) and neurally adjusted ventilatory a...

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0449. Surface EMG of extra-diaphragmatic muscles can assess muscle unloading during neurally adjusted ventilatory support

Introduction Neurally adjusted ventilatory assist (NAVA) is used to adapt mechanical ventilation to patient demand while unloading respiratory muscles. Titration methods are focused on sustained unloading of the diaphragm while maintaining a stable tidal volume [1]. It is hypothesized that the activity of accessory respiratory muscles can supply extra information about muscle unloading and pati...

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تاریخ انتشار 2005