Clinical Application of Neurally Adjusted Ventilatory Assist in Neonates with Respiratory Distress: A Systematic Review

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KADIVAR MALIHEH; Sangsari Razieh; Soltanalian Hamid

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Journal Paper

Paper Information

Journal: Journal of Comprehensive Pediatrics Year:2019 | Volume:10 | Issue:2 Page(s): 00-00

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Information Journal Paper

Title

Clinical Application of Neurally Adjusted Ventilatory Assist in Neonates with Respiratory Distress: A Systematic Review

Author(s)

KADIVAR MALIHEH | Sangsari Razieh | Soltanalian Hamid | Issue Writer Certificate

Keywords

Neonate

Ventilation

Diaphragm

NAVA

Abstract

Context: Neurally adjusted ventilatory assist (NAVA) is a novel mode of Ventilation that coordinates the mechanical ventilator and the patient via electrical impulses of the Diaphragm. Using these impulses as neural triggers, the patient’ s respiration synchronizes with the ventilator. Ventilation with NAVA has successfully been performed in adults with various lung diseases but the application of NAVA in Neonates is a novel issue. Objectives: The aim of this review study was to emphasize the NAVA as a new way of neonatal ventilatory support and the importance of ventilator-Neonate synchrony in neonatal intensive care units. Study Selection: Several studies have evaluated NAVA in the neonatal period but we described here the cardinal studies. Therefore, we included studies performing NAVA in the neonatal and pediatric population. Results: The review of 10 studies showed that asynchrony was less frequent when using NAVA than when using the pneumatic modes of Ventilation. Most of the studies observed a reduction in peak inspiratory pressure (PIP) and FIO2 with NAVA. A reduction in mean airway pressure and work of breathing and an improvement in gas exchange were also observed in some of the studies. Conclusions: We concluded that according to recent studies, the NAVA should be administered in Neonates for better synchronization with ventilator and improving the gas exchange and outcomes.

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APA: Copy

KADIVAR, MALIHEH, Sangsari, Razieh, & Soltanalian, Hamid. (2019). Clinical Application of Neurally Adjusted Ventilatory Assist in Neonates with Respiratory Distress: A Systematic Review. JOURNAL OF COMPREHENSIVE PEDIATRICS, 10(2), 00-00. SID. https://sid.ir/paper/763755/en

Vancouver: Copy

KADIVAR MALIHEH, Sangsari Razieh, Soltanalian Hamid. Clinical Application of Neurally Adjusted Ventilatory Assist in Neonates with Respiratory Distress: A Systematic Review. JOURNAL OF COMPREHENSIVE PEDIATRICS[Internet]. 2019;10(2):00-00. Available from: https://sid.ir/paper/763755/en

IEEE: Copy

MALIHEH KADIVAR, Razieh Sangsari, and Hamid Soltanalian, “Clinical Application of Neurally Adjusted Ventilatory Assist in Neonates with Respiratory Distress: A Systematic Review,” JOURNAL OF COMPREHENSIVE PEDIATRICS, vol. 10, no. 2, pp. 00–00, 2019, [Online]. Available: https://sid.ir/paper/763755/en

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