Autoregulation of ventilation with neurally adjusted ventilatory assist on extracorporeal lung support
- 6 August 2010
- journal article
- research article
- Published by Springer Science and Business Media LLC in Intensive Care Medicine
- Vol. 36 (12), 2038-2044
- https://doi.org/10.1007/s00134-010-1982-6
Abstract
Extracorporeal membrane oxygenation (ECMO) can support oxygenation and carbon dioxide elimination in severe lung failure. Usually it is accompanied by controlled mechanical ventilation. Neurally adjusted ventilatory assist (NAVA) is a new mode of ventilation triggered by the diaphragmatic electrical activity and controlled by the patient’s respiratory centre, which may allow a close interaction between ventilation and extracorporeal perfusion. This pilot study intended to measure the physiologic ventilatory response in patients with severe lung failure treated with ECMO and NAVA. We hypothesized that the combination of both methods could automatically provide a protective ventilation with optimized blood gases.Keywords
This publication has 33 references indexed in Scilit:
- Critically Ill Patients With 2009 Influenza A(H1N1) Infection in CanadaJAMA, 2009
- Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trialThe Lancet, 2009
- Evaluation of the catheter positioning for neurally adjusted ventilatory assistIntensive Care Medicine, 2009
- Patient-Ventilator Interaction During Neurally Adjusted Ventilatory Assist in Low Birth Weight InfantsPediatric Research, 2009
- Extracorporeal gas exchangeCurrent Opinion in Critical Care, 2009
- Extracorporeal Life Support for Severe Acute Respiratory Distress Syndrome in AdultsAnnals of Surgery, 2004
- Mechanical Ventilation as a Mediator of Multisystem Organ Failure in Acute Respiratory Distress SyndromeJAMA, 2000
- Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress SyndromeNew England Journal of Medicine, 2000
- Low-frequency positive-pressure ventilation with extracorporeal CO2 removal in severe acute respiratory failureJAMA, 1986
- Control of Breathing Using an Extracorporeal Membrane LungAnesthesiology, 1977