en
Scientific article
English

Synchronized mechanical ventilation using electrical activity of the diaphragm in neonates

Published inClinics in perinatology, vol. 39, no. 3, p. 525-542
Publication date2012
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/innervation
  • Electromyography
  • Humans
  • Infant, Newborn
  • Interactive Ventilatory Support/methods
  • Intubation, Gastrointestinal
  • Respiratory Distress Syndrome, Newborn/therapy
  • Respiratory Mechanics
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. 525–542. doi: 10.1016/j.clp.2012.06.004
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal0095-5108
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Technical informations

Creation10/17/2013 2:57:00 PM
First validation10/17/2013 2:57:00 PM
Update time03/14/2023 8:34:01 PM
Status update03/14/2023 8:34:01 PM
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