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Neurally adjusted ventilatory assist (NAVA) is used to adapt mechanical ventilation to patient demand while unloading respiratory muscles. Titration methods are focused on sustained unloading of the diaphragm while maintaining a stable tidal volume [1]. It is hypothesized that the activity of accessory respiratory muscles can supply extra information about muscle unloading and patient comfort during NAVA ventilation.

0449. Surface EMG of extra-diaphragmatic muscles can assess muscle unloading during neurally adjusted ventilatory support