Identification of adequate neurally adjusted ventilatory assist (NAVA) during systematic increases in the NAVA level

IEEE Transactions on Biomedical Engineering

Volumn 58, Issue 9, 2011, Pages 2598-2606

  Ververidis, Dimitrios ^a   Van Gils, Mark ^a   Passath, Christina ^b   Takala, Jukka ^b   Brander, Lukas ^b  

^a VTT TECHNICAL RESEARCH CENTRE OF FINLAND   (Finland)

^b UNIVERSITY OF BERN   (Switzerland)

Author keywords

Diaphragm electrical activity; neurally adjusted ventilatory assist; patient ventilator interaction

Indexed keywords

ADULT PATIENTS; AIRWAY PRESSURES; CLINICAL ROUTINE; COMPUTING ENVIRONMENTS; DOWN-REGULATION; ELECTRICAL ACTIVITIES; GAUSSIAN MIXTURE MODELING; MATHEMATICAL ALGORITHMS; MULTI-STEP; NEURALLY ADJUSTED VENTILATORY ASSIST; PATIENT-VENTILATOR INTERACTION; POLYNOMIAL FITTINGS; RESPIRATORY MUSCLES; TIDAL VOLUME;

COMPUTER SYSTEMS; DIAPHRAGMS; GRAPHICAL USER INTERFACES; MATLAB; UNLOADING;

POLYNOMIALS;

AIRWAY PRESSURE; ALGORITHM; ARTICLE; ARTIFICIAL VENTILATION; BREATHING MUSCLE; DOWN REGULATION; ELECTRIC ACTIVITY; FEEDBACK SYSTEM; HUMAN; MATHEMATICAL MODEL; NEURALLY ADJUSTED VENTILATORY ASSIST; TIDAL VOLUME;

ADULT; ALGORITHMS; DIAPHRAGM; HUMANS; REPRODUCIBILITY OF RESULTS; RESPIRATION, ARTIFICIAL; SIGNAL PROCESSING, COMPUTER-ASSISTED; TIDAL VOLUME;

EID: 80052042616     PISSN: 00189294     EISSN: 15582531     Source Type: Journal    
DOI: 10.1109/TBME.2011.2159790     Document Type: Article

References (20)

1. C. Sinderby, P. Navalesi, J. Beck, Y. Skrobik, N. C. S. Friberg, and S. G. L. Lindström, "Neural control of mechanical ventilation in respiratory failure," Nat. Med., vol. 5, no. 12, pp. 1433-1436, 1999.
2. C. Sinderby, J. Beck, J. Spahija, J. Weinberg, and A. Grassino, "Voluntary activation of the human diaphragm in health and disease," J. Appl. Physiol., vol. 85, no. 6, pp. 2146-2158, 1998. (Pubitemid 28558071)
3. J. Beck, C. Sinderby, L. Lindström, and A. Grassino, "Effects of lung volume on diaphragm EMG signal strength during voluntary contractions," J. Appl. Physiol., vol. 85, no. 3, pp. 1123-1134, 1998. (Pubitemid 28413295)
4. ATS/ERS Statement on respiratory muscle testing, American Thoracic Society/European Respiratory Society. Std. 2002.
5. C. Jolley, Y. Luo, J. Steier, C. Reilly, J. Seymour, A. Lunt, K. Ward, G. Rafferty, and J. Moxham, "Neural respiratory drive in healthy subjects and in COPD," Eur. Respir. J., vol. 33, no. 2, p. 289, 2009.
6. J. Allo, J. Beck, L. Brander, F. Brunet, A. Slutsky, and C. Sinderby, "Influence of neurally adjusted ventilatory assist and positive end-expiratory pressure on breathing pattern in rabbits with acute lung injury," Crit. Care Med., vol. 34, no. 12, pp. 2997-3004, 2006. (Pubitemid 44808744)
7. C. Sinderby, J. Beck, J. Spahija, M. de Marchie, J. Lacroix, P. Navalesi, and A. Slutsky, "Inspiratory muscle unloading byneurally adjusted ventilatory assist during maximal inspiratory efforts in healthy subjects," Chest, vol. 131, no. 3, pp. 711-717, 2007. (Pubitemid 46446861)
8. J. Beck, F. Campoccia, J. Allo, L. Brander, F. Brunet, A. Slutsky, and C. Sinderby, "Improved synchrony and respiratory unloading by neurally adjusted ventilatory assist (NAVA) in lung-injured rabbits," Pediatric Res., vol. 61, no. 3, pp. 289-294, 2007.
9. L. Brander, H. Poi, J. Beck, F. Brunet, S. Hutchison, A. Slutsky, and C. Sinderby, "Titration and implementation of neurally adjusted ventila-tory assist in critically ill patients," Chest, vol. 135, p. 695, 2009.
10. F. Lecomte, L. Brander, F. Jalde, J. Beck, H. Qui, C. Elie, A. Slutsky, F. Brunet, and C. Sinderby, "Physiological response to increasing levels of neurally adjusted ventilatory assist," Resp. Phys. Neurob., vol. 166, no. 2, pp. 117-124, 2009.
11. C. Passath, J. Takala, D. Tuchscherer, S. M. Jakob, C. Sinderby, and L. Brander, "Physiological response to changing positive end-expiratory pressure during neurally adjusted ventilatory assist in sedated, critically ill adults," Chest., vol. 138, pp. 578-587, 2010.
12. D. Colombo, G. Cammarota, V. Bergamaschi, M. Lucia, F. Corte, and P. Navalesi, "Physiologic response to varying levels of pressure support and neurally adjusted ventilatory assist in patients with acute respiratory failure," Intensive Care Med., vol. 34, pp. 2010-2018, 2008.
13. D. Ververidis and C. Kotropoulos, "Gaussian mixture modeling by exploiting the Mahalanobis distance," IEEE Trans. Signal Process., vol. 56, no. 7B, pp. 2797-2811, Jul. 2008.
14. D. Ververidis, "Open code," [Online]. Available: mathworks.com/matlabcentral/fileexchange
15. N.Draper and H.Smith,Applied Regression Analysis. New York: Wiley, 1998.
16. T. Anderson, Introduction to Multivariate Statist. Analysis. New York: Wiley, 1984.
17. A. Jubran, M. Mathru, D. Dries, and M. J. Tobin, "Continuous recordings of mixed venous oxygen saturation during weaning from mechanical ventilation and the ramifications thereof," Am. J. Respir. Crit. Care Med., vol. 158, pp. 1763-1769, 1998. (Pubitemid 29008812)
18. S. Levine, T. Nguyen, N. Taylor, M. Friscia, M. Budak, J. Zhu, S. Sonnad, L. Kaiser, N. Rubinstein, S. Powers, and J. Shrager, "Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans," New England J. Med., vol. 358, no. 13, p. 1327, 2008.
19. C. S. H. Sassoon, E. Zhu, and V. J. Caiozzo, "Assist-control mechanical ventilation attenuates ventilator-induced diaphragmatic dysfunction," Am. J. Respir. Crit. Care Med., vol. 170, no. 6, pp. 626-632, 2004. (Pubitemid 39202204)
20. G. Gayan-Ramirez, D. Testelmans, K. Maes, G. Rácz, P. Cadot, E. Zádor, F. Wuytack, and M. Decramer, "Intermittent spontaneous breathing protects the rat diaphragm from mechanical ventilation effects," Crit. Care Med., vol. 33, no. 12, pp. 2804-2809, 2005. (Pubitemid 41816415)