Open AccessApplication of neurally adjusted ventilatory assist in ventilator weaning of infants ventilator weaning
Author(s) -
Xiao Shuna,
Huang Chengjiao,
Cheng Ying,
Xia Zhi,
Li Yong,
Tang Wen,
Shi Buyun,
Wang Lijun,
Shu Xiaolan,
Jiang Ying,
Qin Chenguang,
Xu Hui
Publication year - 2021
Publication title -
brain and behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.915
H-Index - 41
ISSN - 2162-3279
DOI - 10.1002/brb3.2350
Subject(s) - medicine , mechanical ventilation , weaning , ventilation (architecture) , diaphragm (acoustics) , respiratory physiology , respiratory minute volume , respiratory system , mechanical ventilator , anesthesia , cardiology , mechanical engineering , physics , acoustics , loudspeaker , engineering
Background To analyze the application of neurally adjusted ventilatory assist in ventilator weaning of infants. Methods A total of 25 infants (15 boys and 10 girls) who were mechanically ventilated by PICU in Hubei Maternal and Child Health Hospital were selected as the study subjects. After the improvement of the basic disease, regular spontaneous breathing, and the withdrawal of the ventilator, all the children obtained the electrical activity of the diaphragm (EAdi) signal. Then, each child was given CPAP and NAVA mode mechanical ventilation 1 h before the withdrawal of the ventilator. Each detection index was recorded 30 min after each mode of ventilation. Results Two of the 25 children were tracheotomized because of respiratory muscle weakness and could not be converted to NAVA mode without the EAdi signal. Hemodynamic indexes were not statistically different between the two groups of CPAP and NAVA. PaCO 2 is not significantly different in the two modes, and both were at normal levels. The PIP in NAVA mode is lower than that in CPAP mode ( p < .05), and its EAdi signal was correspondingly low. There were significant differences in the peak pressure (Ppeak), mean pressure (Pmean), and compliance and mean arterial pressure ( p < .01) between the CPAP and NAVA model ventilation in 23 patients. Conclusion NAVA can significantly improve the coordination of patients. The therapeutic effect of NAVA was better, which was beneficial to the prognosis of patients and had positive application value in the withdrawal of ventilators in patients.