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Title

Synchronized mechanical ventilation using electrical activity of the diaphragm in neonates

Authors
Stein, Howard
Firestone, Kimberly
Published in Clinics in Perinatology. 2012, vol. 39, no. 3, p. 525-42
Abstract The electrical activity of the diaphragm (Edi) is measured by a specialized nasogastric/orogastric tube positioned in the esophagus at the level of the crural diaphragm. Neurally adjusted ventilatory assist (NAVA) uses the Edi signal as a neural trigger and intrabreath controller to synchronize mechanical ventilatory breaths with the patient's respiratory drive and to proportionally support the patient's respiratory efforts on a breath-by-breath basis. NAVA improves patient-ventilator interaction and synchrony even in the presence of large air leaks, and might therefore be an optimal option for noninvasive ventilation in neonates.
Keywords Diaphragm/innervationElectromyographyHumansInfant, NewbornInteractive Ventilatory Support/methodsIntubation, GastrointestinalRespiratory Distress Syndrome, Newborn/therapyRespiratory Mechanics
Identifiers
PMID: 22954267
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Structures
Research group Maladies pulmonaires aigues et pathologies cardiaques congénitales (697)
Citation
(ISO format)
STEIN, Howard, FIRESTONE, Kimberly, RIMENSBERGER, Peter. Synchronized mechanical ventilation using electrical activity of the diaphragm in neonates. In: Clinics in Perinatology, 2012, vol. 39, n° 3, p. 525-42. https://archive-ouverte.unige.ch/unige:30587

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Deposited on : 2013-10-23

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