Zeitschrift für Neonatalbiologie

Abstrakt

Neuronically Adapted Vetilatory Support in Newborns

Fermin Arci Munoz Rodrigo and Sonia Rodriguez Rivero

Invasive and noninvasive ventilation of preterm infants can be associated with local and systemic complications due to mechanical trauma to the lung tissue and its inflammatory response. A major goal of any type of mechanical ventilation is therefore to reduce its duration and associated side effects. Neurally adapted ventilator assist (NAVA), a method that uses the electrical activity of the diaphragm (EAdi) as a signal to trigger mechanical ventilator pulses, can improve patient-ventilator synchronization and optimize the volume of gas delivered to the lungs according to patient needs, ultimately reducing volume and biotrauma. The EAdi signal can also be used as a vital signal to monitor the patient's neural respiratory drive. Preliminary data show some benefit from using NAVA in the neonatal period, but further studies are needed to assess whether these short-term benefits translate into better outcomes in the long term.