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01-11-2016 | Editorial

No harm, no benefit: should we give up with neurally adjusted ventilatory assist?

Authors: Paolo Navalesi, Federico Longhini

Published in: Intensive Care Medicine | Issue 11/2016

Excerpt

Mechanical ventilation is a frequent reason for admitting a patient to the intensive care unit (ICU) and is therefore one of the most common forms of treatment we use in our ICU daily practice. We apply it for varying reasons, the most frequent being an episode of acute respiratory failure (ARF) that may be caused by a variety of conditions [1]. …

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Rittayamai N, Katsios CM, Beloncle F, Friedrich JO, Mancebo J, Brochard L (2015) Pressure-controlled vs volume-controlled ventilation in acute respiratory failure: a physiology-based narrative and systematic review. Chest 148:340–355CrossRefPubMed

Chao DC, Scheinhorn DJ, Stearn-Hassenpflug M (1997) Patient-ventilator trigger asynchrony in prolonged mechanical ventilation. Chest 112:1592–1599CrossRefPubMed

Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L (2006) Patient–ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 32:1515–1522CrossRefPubMed

de Wit M, Miller KB, Green DA, Ostman HE, Gennings C, Epstein SK (2009) Ineffective triggering predicts increased duration of mechanical ventilation. Crit Care Med 37:2740–2745CrossRefPubMed

Navalesi P, Costa R (2003) New modes of mechanical ventilation: proportional assist ventilation, neurally adjusted ventilatory assist, and fractal ventilation. Curr Opin Crit Care 9:51–58CrossRefPubMed

Navalesi P, Longhini F (2015) Neurally adjusted ventilatory assist. Curr Opin Crit Care 21:58–64CrossRefPubMed

Demoule A, Clavel M, Rolland-Debord C, Perbet S, Terzi N, Kouatchet A, Wallet F, Roze H, Vargas F, Guerin C, Dellamonica J, Jaber S, Brochard L, Similowski T (2016) Neurally adjusted ventilatory assist as an alternative to pressure support ventilation in adults: a French multicentre randomized trial. Intensive Care Med. doi:10.1007/s00134-016-4447-8

Ferguson ND, Cook DJ, Guyatt GH, Mehta S, Hand L, Austin P, Zhou Q, Matte A, Walter SD, Lamontagne F, Granton JT, Arabi YM, Arroliga AC, Stewart TE, Slutsky AS, Meade MO (2013) High-frequency oscillation in early acute respiratory distress syndrome. N Engl J Med 368:795–805CrossRefPubMed

10.

Thille AW, Cabello B, Galia F, Lyazidi A, Brochard L (2008) Reduction of patient–ventilator asynchrony by reducing tidal volume during pressure-support ventilation. Intensive Care Med 34:1477–1486CrossRefPubMed

Title: No harm, no benefit: should we give up with neurally adjusted ventilatory assist?
Authors: Paolo Navalesi
Federico Longhini
Publication date: 01-11-2016
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 11/2016
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-016-4484-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

No harm, no benefit: should we give up with neurally adjusted ventilatory assist?

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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