Non-invasive ventilation with neurally adjusted ventilatory assist in newborns
10.3760/cma.j.issn.1673-4408.2017.10.006
- VernacularTitle:新生儿无创神经辅助通气支持的临床应用
- Author:
Guohong TANG
1
Author Information
1. 635000,四川省达州中心医院儿科
- Keywords:
Newborn;
Neurally adjusted ventilatory assist
- From:
International Journal of Pediatrics
2017;44(10):679-681,685
- CountryChina
- Language:Chinese
-
Abstract:
Neurally adjusted ventilatory assist(NAVA)is a mode of ventilation in which both the timing and degree of ventilatory assist are controlled by the patient.Since NAVA uses the diaphram electrical activity (Edi)as the controller signal,it is possible to deliver synchronized non-invasive NAVA(NIV-NAVA)regardless of leaks and to monitor continuously patient respiratory pattern.Advantages of NIV-NAVA over conventional modes include improved patient-ventilator interaction,reliable respiratory monitoring and self-regulation of re-spiratory support.In theory,these characteristics make NIV-NAVA an ideal mode to provide effective,appropri-ate non-invasive support to newborns with respiratory insufficiency.NIV-NAVA has been successfully used clini-cally in neonates as a mode of ventilation to prevent intubation,to allow early extubation,and as a novel way to deliver nasal continuous positive airway pressure.
