Published in:
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
Login to get access
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. …