Journal article
Noninvasive Neurally Adjusted Ventilatory Assist in Premature Infants Postextubation
American journal of perinatology, Vol.34(6), pp.593-598
05/2017
DOI: 10.1055/s-0036-1596053
PMID: 27919117
Abstract
Neurally adjusted ventilatory assist (NAVA) has distinct advantages when used invasively compared with conventional ventilation techniques. Evidence supporting the use of noninvasive NAVA is less robust, especially in the very low birth weight (VLBW) population.
To determine whether synchronized noninvasive ventilation via neurally adjusted ventilatory assist (NIV NAVA) supports ventilation postextubation in premature infants.
A retrospective analysis of a cohort of twenty-four former VLBW (<1.5 kg) infants from July 2011 to October 2012. Decreased or unchanged capillary pCO
after increasing NAVA support was used as a marker for adequately supported noninvasive ventilation. The Wilcoxon signed-rank test was used to compare pre- and post-NAVA intervention (α = 0.05).
Ventilation improved after an increase in NIV NAVA level in 83% of the premature infants studied (20/24) with a decrease in median pCO
by 5 mm Hg (
= 0.0001).
NIV NAVA can provide synchronized postextubation ventilatory support as measured by decreased pCO
in premature infants.
Details
- Title: Subtitle
- Noninvasive Neurally Adjusted Ventilatory Assist in Premature Infants Postextubation
- Creators
- Tarah T Colaizy - Division of Neonatology, Department of Pediatrics, Carver College of Medicine, Iowa City, IowaGary J Kummet - Mercy Medical Center, Des Moines, IowaColleen M Kummet - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IowaJonathan M Klein - Division of Neonatology, Department of Pediatrics, Carver College of Medicine, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- American journal of perinatology, Vol.34(6), pp.593-598
- DOI
- 10.1055/s-0036-1596053
- PMID
- 27919117
- ISSN
- 0735-1631
- eISSN
- 1098-8785
- Language
- English
- Date published
- 05/2017
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984093497402771
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