Physiological response to increasing levels of neurally adjusted ventilatory assist (NAVA)

Lecomte, François; Brander, Lukas; Jalde, Fredrick; Beck, Jennifer; Qui, Haibo; Elie, Caroline; Slutsky, Arthur S; Brunet, Fabrice; Sinderby, Christer (2009). Physiological response to increasing levels of neurally adjusted ventilatory assist (NAVA). Respiratory physiology & neurobiology, 166(2), pp. 117-24. Kidlington, UK: Elsevier 10.1016/j.resp.2009.02.015

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This study evaluated the response to increasing levels of neurally adjusted ventilatory assist (NAVA), a mode converting electrical activity of the diaphragm (EAdi) into pressure, regulated by a proportionality constant called the NAVA level. Fourteen rabbits were studied during baseline, resistive loading and ramp increases of the NAVA level. EAdi, airway (Paw) and esophageal pressure (Pes), Pes pressure time product (PTPes), breathing pattern, and blood gases were measured. Resistive loading increased PTPes and EAdi. P(a)(CO)(2) increased with high load but not during low load. Increasing NAVA levels increased Paw until a breakpoint where the Paw increase was reduced despite increasing NAVA level. At this breakpoint, Pes, PTPes, EAdi, and P(a)(CO)(2) were similar to baseline. Further increase of the NAVA level reduced Pes, PTPes and EAdi without changes in ventilation. In conclusion, observing the trend in Paw during a ramp increase of the NAVA level allows determination of a level where the inspiratory effort matches unloaded conditions.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care

UniBE Contributor:

Brander, Lukas

ISSN:

1569-9048

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:13

Last Modified:

04 May 2014 23:23

Publisher DOI:

10.1016/j.resp.2009.02.015

PubMed ID:

19429528

Web of Science ID:

000265715000007

URI:

https://boris.unibe.ch/id/eprint/32239 (FactScience: 197250)

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