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[Neurally adjusted ventilatory assist (NAVA). A new mode of assisted mechanical ventilation].

Abstract
The aim of mechanical ventilation is to assure gas exchange while efficiently unloading the respiratory muscles and mechanical ventilation is an integral part of the care of patients with acute respiratory failure. Modern lung protective strategies of mechanical ventilation include low-tidal-volume ventilation and the continuation of spontaneous breathing which has been shown to be beneficial in reducing atelectasis and improving oxygenation. Poor patient-ventilator interaction is a major issue during conventional assisted ventilation. Neurally adjusted ventilator assist (NAVA) is a new mode of mechanical ventilation that uses the electrical activity of the diaphragm (EAdi) to control the ventilator. First experimental studies showed an improved patient-ventilator synchrony and an efficient unloading of the respiratory muscles. Future clinical studies will have to show that NAVA is of clinical advantage when compared to conventional modes of assisted mechanical ventilation. This review characterizes NAVA according to current publications on this topic.
AuthorsO Moerer, J Barwing, M Quintel
JournalDer Anaesthesist (Anaesthesist) Vol. 57 Issue 10 Pg. 998-1005 (Oct 2008) ISSN: 1432-055X [Electronic] Germany
Vernacular Title"Neurally adjusted ventilatory assist" (NAVA). Ein neuartiges assistiertes Beatmungsverfahren.
PMID18663419 (Publication Type: English Abstract, Journal Article, Review)
Topics
  • Diaphragm (physiology)
  • Electrophysiology
  • Humans
  • Nervous System Physiological Phenomena
  • Respiration, Artificial (instrumentation)
  • Respiratory Insufficiency (therapy)
  • Respiratory Mechanics
  • Respiratory Muscles (physiology)

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