Effect of changing NAVA levels on peak inspiratory pressures and electrical activity of the diaphragm in premature neonates

Journal of Perinatology

Volumn 35, Issue 8, 2015, Pages 612-616

  Firestone, K S ^a   Fisher, S ^b   Reddy, S ^c   White, D B ^d   Stein, H M ^e  

^a AKRON CHILDREN'S HOSPITAL   (United States)

^b Promedica Physician Group   (United States)

^c Dayton Gastroenterology   (United States)

^d UNIVERSITY OF TOLEDO   (United States)

^e Toledo Children's Hospital   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

OXYGEN;

ARTICLE; ARTIFICIAL VENTILATION; BREATHING RATE; CASE STUDY; CHILD; CLINICAL ARTICLE; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ELECTRICAL ACTIVITY OF THE DIAPHRAGM; FEEDBACK SYSTEM; HEART RATE; HUMAN; LUNG DISEASE; LUNG INSUFFICIENCY; MEAN ARTERIAL PRESSURE; MEDICAL PARAMETERS; NEURALLY ADJUSTED VENTILATOR ASSIST VENTILATION; NEWBORN; NONINVASIVE VENTILATION; OXYGEN SATURATION; PEAK INSPIRATORY FLOW; PEAK INSPIRATORY PRESSURE; PNEUMONIA; PREMATURITY; PROSPECTIVE STUDY; RESPIRATION CONTROL; RESPIRATORY DISTRESS SYNDROME; BLOOD PRESSURE; INFANT; INTERACTIVE VENTILATORY SUPPORT; MECHANICAL VENTILATOR; POSITIVE END EXPIRATORY PRESSURE; PROCEDURES; RESPIRATORY DISTRESS SYNDROME, NEWBORN; UTILIZATION; VERY LOW BIRTH WEIGHT;

BLOOD PRESSURE; HEART RATE; HUMANS; INFANT; INFANT, EXTREMELY PREMATURE; INFANT, NEWBORN; INFANT, VERY LOW BIRTH WEIGHT; INTERACTIVE VENTILATORY SUPPORT; OXYGEN; POSITIVE-PRESSURE RESPIRATION; PROSPECTIVE STUDIES; RESPIRATORY DISTRESS SYNDROME, NEWBORN; RESPIRATORY RATE; VENTILATORS, MECHANICAL;

EID: 84938285855     PISSN: 07438346     EISSN: 14765543     Source Type: Journal    
DOI: 10.1038/jp.2015.14     Document Type: Article

References (19)

1. Beck J, Sinderby C, Lindstrom L, Grassino A. Effects of lung volume on diaphragm EMG signal strength during voluntary contractions. J Appl Physiol 1998; 85: 1123-1134.
2. Sinderby C, Beck J, Spahija J, Weinberg J, Grassino A. Voluntary activation of the human diaphragm in health and disease. J Appl Physiol 1998; 85(6): 2146-2158.
3. Sinderby C, Beck J. Neurally adjusted ventilatory assist (NAVA): an update and summary of experiences. Neth J Crit Care 2007; 11(5): 243-252.
4. Navalesi P, Colombo D, Della Corte F. NAVA ventilaton. Minerva Anestesiol 2010; 76: 346-352.
5. Beck J, Reilly M, Grasselli G, Mirabella L, Slutsky AS, Dunn MS et al. Patientventilator interaction during neurally adjusted ventilatory assist in low birth weight infants. Pediatr Res 2009; 65(6): 663-668.
6. Vignaux L, Grazioli S, Piquilloud L, Bochaton N, Karam O, Levy-Jamet Y et al. Patient-ventilator asynchrony during noninvasive pressure support ventilation and Neurally Adjusted Ventilatory Assist in infants and children. Pediatr Crit Care Med 2013; 14(8): e357-e364.
7. Jubran A, Mathru M, Dries D, Tobin MJ. Continuous recording of mixed venous oxygen saturation during wenaing from mechanical ventilation and the ramificatons thereof. Am J Respir Crit Care Med 1998; 158: 1763-1769.
8. Levine S, Nguyen T, Taylor N, Friscia ME, Budak MT, Rothenberg P et al. Rapid disuse atrophy of diaphragmatic fibers in mechanically ventilated humans. N Engl J Med 2008; 358(13): 1327-1335.
9. Lecomte F, Brander L, Jalde F, Beck J, Qui H, Elie C et al. Physiological response to increasing levels of neurally adjusted ventilatory assist (NAVA). Respir Physiol Neurobiol 2009; 166(2): 117-124.
10. Brander L, Leong-Poi H, Beck J, Brunet F, Hutchison SJ, Slutsky AS et al. Titration and implementation of neurally adjusted ventilatory assist in critically ill patients. Chest 2009; 135(3): 695-703.
11. Sinderby C, Beck J, Spahija J, de Marchie M, Lacroix J, Navalesi P et al. Inspiratory muscle unloading by neurally adjusted ventilatory assist during maximal inspiratory efforts in healthy subjects. Chest 2007; 131(3): 711-717.
12. Ververidis D, Van Gils M, Passath C, Takala J, Brander L. Identification of adequate neurally adjusted ventilatory assist (NAVA) during systematic increases in the NAVA level. IEEE Trans Biomed Eng 2011; 58(9): 2598-2606.
13. Patroniti N, Bellani G, Saccavino E, Zanella A, Grasselli G, Isgro S et al. Respiratory pattern during neurally adjusted ventilatory assist in acute respiratory failure patients. Intensive Care Med 2011; 38(2): 230-239.
14. Stein HM, Firestone KS. Nava ventilation in neonates: clinical guidelines and management strategies. Neonatol Today 2012; 7(4): 1-8.
15. Passath C, Takala J, Tuchscherer D, Jakob SM, Sinderby C, Brander L. Physiological response to changing positive end-expiratory pressure during neurally adjusted ventilatory assist in sedated critically ill adults. Chest 2010; 138 (3): 578-587.
16. Marantz S, Patrick W, Webster K, Roberts D, Oppenheimer L, Younes M. Response of ventilator-dependent patients to different levels of proportional assist. J Appl Physiol 1996; 80: 397-403.
17. Kondili E, Xirouchaki N, Vaporidi K, Klimathianaki M, Georgopoulos D. Short-term cardiorespiratory effects of proportional assist and pressure-support ventilation in patients with acute lung injury/acute respiratory distress syndrome. Anesthesiology 2006; 105: 703-708.
18. Hering E, Breuer J. Die selbststeurung der athmung den nervus vagus. Sitzber Deut Akad Wiss Wein 1868; 57: 672-677.
19. Vitale V, Duperret S, Mahul P, Delafosse B, Delpuech C, Weismann D et al. Time course evolution of ventilatory responses to inspiratory unloading in patients. Am J Respir Crit Care Med 1998; 157: 428-434.