Neurally adjusted ventilatory assist in pediatric patients
10.3760/cma.j.issn.1673-4912.2017.02.003
- VernacularTitle:神经调节辅助通气在儿科的应用
- Author:
Xiaoxu REN
- Keywords:
Mechanical ventilation;
Neurally adjusted ventilatory assist;
Electrical activity of the dia-phragm;
Non-invasively neurally adjusted ventilatory assist;
Synchrony;
Patient-ventilator interaction;
Children
- From:
Chinese Pediatric Emergency Medicine
2017;24(2):92-97
- CountryChina
- Language:Chinese
-
Abstract:
Neurally adjusted ventilatory assist ( NAVA ) and non-invasively-NAVA are safe and feasible mode of ventilation in both the pediatric and the neonatal populations. NAVA mode has excellent synchrony and is superior over conventional mode at improving patient-ventilator interaction. NAVA is least vulnerable to changes in airway disease or airway resistance patterns. Non-invasively-NAVA delivers synchro-nized ventilation independent of leaks. NAVA offers maintenance of physiologic variability in breathing. NAVA can effectively avoid excessive ventilation,assist the weaning and has a lung protective function. Bed-side monitoring of Edi is a useful tool for evaluating diaphragm function,central apnea,clinical interventions, and decision support. Further high-quality studies are required to evaluate the long-term clinical prognosis for NAVA mode utilizing in pediatric patients.
