Transcription of Neonatology Today
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Neonatology Today
IntroductionNAVA (Neurally Adjusted Ventilator Assist) is a new mode of ventilation that may offer potential solutions to many of the challenges posed by neonatal venti-lation. However, experience with the use of NAVA in the neonatal population is limited. Toledo Children s Hospital and Akron Children s Hospital neonatal intensive care units have a combined experience of using NAVA and Non-Invasive (NIV-NAVA) ventila-tion in over 500 neonates. In this article, we will briefly review how NAVA works, summarize our clinical experience, and provide clinical guidelines and management strategies for neonates on NAVA :Ventilating a neonate is complicated by the need for short inspiratory times, rapid respiratory rates and small tidal volumes.
The electrical activity of the diaphragm (Edi), which represents the neo - nate’s neural respiratory effort, is superimposed over the flow-triggered
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