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Published in: Critical Care 1/2011

Open Access 01-02-2011 | Poster presentation

Neurally adjusted ventilatory assist reduces asynchrony and patient effort in severe acute respiratory distress syndrome patients undergoing extracorporeal membrane oxygenation

Authors: T Mauri, G Bellani, A Confalonieri, F Magni, G Grasselli, N Patroniti, A Pesenti

Published in: Critical Care | Special Issue 1/2011

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Excerpt

Assisted ventilation may prevent muscle atrophy and reduce sedation needs in severe acute respiratory distress syndrome (ARDS) patients undergoing extracorporeal membrane oxygenation (ECMO). However, pressure support (PS) is difficult to implement in these patients: inspiratory flow peaks and drops rapidly and the ventilator expiratory phase may overlap patient inspiration causing asynchrony and barotrauma. Neurally adjusted ventilatory assist (NAVA) is an assisted ventilation mode driven by diaphragmatic electrical activity (EAdi) and should adapt better to patients' respiratory pattern. We measured whether NAVA could reduce asynchrony in severe ARDS patients undergoing ECMO. …
Metadata
Title
Neurally adjusted ventilatory assist reduces asynchrony and patient effort in severe acute respiratory distress syndrome patients undergoing extracorporeal membrane oxygenation
Authors
T Mauri
G Bellani
A Confalonieri
F Magni
G Grasselli
N Patroniti
A Pesenti
Publication date
01-02-2011
Publisher
BioMed Central
Published in
Critical Care / Issue Special Issue 1/2011
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc9611

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