Iodice Francesca, Testa Giuseppina, Amodeo Antonio, Cogo Paola
Department of Anesthesia and Intensive Care, Children's Hospital Bambino Gesu, Rome, Italy.
BMJ Case Rep. 2012 Sep 3;2012:bcr1020115029. doi: 10.1136/bcr-10-2011-5029.
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.
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。