Neurally adjusted ventilatory assist: An update

被引:2
|
作者
Garzando, Mar [1 ]
Ferrandis, Raquel [1 ]
Garrigues, Beatriz [1 ]
Soro, Marina [1 ]
Javier Belda, F. [1 ]
机构
[1] Univ Valencia, Hosp Clin Univ, Dept Anesthesiol & Crit Care, Avda Blasco Ibanez 17, Valencia 46010, Spain
关键词
Diaphragm; electromyographic activity; Respiration; Neurally adjusted ventilatory assist; Weaning;
D O I
10.1016/j.tacc.2014.04.008
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Neurally adjusted ventilatory assist (NAVA) is a new ventilation mode that provides a proportional assistance to the inspiratory effort of the patients. It is based on the use of the diaphragm electromyographic activity (Edi) for the control of the ventilation assistance. The ability of NAVA to improve the limitations of the conventional assisted ventilator modes has been assessed in clinical studies and discussed in this report, as the latest applications of NAVA in children and non-invasive ventilation, due to the improvement of the patienteventilator interactions delivered by NAVA. We also review the most recent literature on a new trend to use the Edi as a predictor of weaning success or failure. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:115 / 118
页数:4
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