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本文引用的文献

1
Neurally adjusted ventilatory assist vs. pressure support ventilation in critically ill patients: an observational study.神经调节辅助通气与压力支持通气在危重症患者中的比较:一项观察性研究。
Acta Anaesthesiol Scand. 2011 Nov;55(10):1261-71. doi: 10.1111/j.1399-6576.2011.02522.x. Epub 2011 Sep 7.
2
Neurally adjusted ventilatory assist: a ventilation tool or a ventilation toy?神经调节辅助通气:一种通气工具还是一种通气玩具?
Respir Care. 2011 Mar;56(3):327-35. doi: 10.4187/respcare.00775. Epub 2011 Jan 21.
3
Neurally adjusted ventilatory assist in patients recovering spontaneous breathing after acute respiratory distress syndrome: physiological evaluation.神经调节辅助通气在急性呼吸窘迫综合征后自主呼吸恢复患者中的应用:生理学评估。
Crit Care Med. 2010 Sep;38(9):1830-7. doi: 10.1097/CCM.0b013e3181eb3c51.
4
Evaluation of the catheter positioning for neurally adjusted ventilatory assist.神经调节辅助通气的导管定位评估。
Intensive Care Med. 2009 Oct;35(10):1809-14. doi: 10.1007/s00134-009-1587-0. Epub 2009 Aug 4.
5
Neurally adjusted ventilatory assist in children: an observational study.神经调节通气辅助在儿童中的应用:一项观察性研究。
Pediatr Crit Care Med. 2010 Mar;11(2):253-7. doi: 10.1097/PCC.0b013e3181b0655e.
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Innovations in mechanical ventilation.
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Physiologic response to varying levels of pressure support and neurally adjusted ventilatory assist in patients with acute respiratory failure.急性呼吸衰竭患者对不同水平压力支持和神经调节通气辅助的生理反应。
Intensive Care Med. 2008 Nov;34(11):2010-8. doi: 10.1007/s00134-008-1208-3. Epub 2008 Jul 16.
8
Mechanical reliability of the Jarvik 2000 Heart.贾维克2000型心脏的机械可靠性。
Ann Thorac Surg. 2006 May;81(5):1752-8; discussion 1758-9. doi: 10.1016/j.athoracsur.2005.12.013.
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Ventilatory assist driven by patient demand.
Am J Respir Crit Care Med. 2003 Oct 1;168(7):729-30. doi: 10.1164/rccm.2307004.
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Initial clinical experience with the Jarvik 2000 implantable axial-flow left ventricular assist system.
Circulation. 2002 Jun 18;105(24):2855-60. doi: 10.1161/01.cir.0000018167.47314.af.

神经调节通气辅助的不当使用。

Inappropriate use of neurally adjusted ventilator assist.

作者信息

Iodice Francesca, Testa Giuseppina, Amodeo Antonio, Cogo Paola

机构信息

Department of Anesthesia and Intensive Care, Children's Hospital Bambino Gesu, Rome, Italy.

出版信息

BMJ Case Rep. 2012 Sep 3;2012:bcr1020115029. doi: 10.1136/bcr-10-2011-5029.

DOI:10.1136/bcr-10-2011-5029
PMID:22948989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4542815/
Abstract

Neurally adjusted ventilator assist (NAVA) is a ventilator mode based on providing assistance to the patient in proportion to the electrical activity of the diaphragm. NAVA may improve patient-ventilator interactions. We describe a very complex case of a child with a permanent ventricular assist device where we attempted to use NAVA during the weaning process and then realised that it was impossible to use.

摘要

神经调节通气辅助(NAVA)是一种基于根据膈肌电活动按比例为患者提供辅助的通气模式。NAVA 可能会改善患者与呼吸机的相互作用。我们描述了一个患有永久性心室辅助装置的儿童的非常复杂的病例,在撤机过程中我们试图使用 NAVA,然后意识到无法使用。