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Noninvasive Neurally Adjusted Ventilator Assist Ventilation in the Postoperative Period Produces Better Patient-Ventilator Synchrony but Not Comfort
المؤلفون المشاركون
Harnisch, L. O.
Olgemoeller, U.
Mann, J.
Moerer, O.
Quintel, Michael
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-06-22
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Noninvasive neurally adjusted ventilatory assist (NAVA) has been shown to improve patient-ventilator interaction in many settings.
There is still scarce data with regard to postoperative patients indicated for noninvasive ventilation (NIV) which this study elates.
The purpose of this trial was to evaluate postoperative patients for synchrony and comfort in noninvasive pressure support ventilation (NIV-PSV) vs.
NIV-NAVA.
Methods.
Twenty-two subjects received either NIV-NAVA or NIV-PSV in an object-blind, prospective, randomized, crossover fashion (observational trial).
We evaluated blood gases and ventilator tracings throughout as well as comfort of ventilation at the end of each ventilation phase.
Results.
There was an effective reduction in ventilator delays (p<0.001) and negative pressure duration in NIV-NAVA as compared to NIV-PSV (p<0.001).
Although we used optimized settings in NIV-PSV, explaining the overall low incidence of asynchrony, NIV-NAVA led to reductions in the NeuroSync-index (p<0.001) and all types of asynchrony except for double triggering that was significantly more frequent in NIV-NAVA vs.
NIV-PSV (p=0.02); ineffective efforts were reduced to zero by use of NIV-NAVA.
In our population of previously lung-healthy subjects, we did not find differences in blood gases and patient comfort between the two modes.
Conclusion.
In the postoperative setting, NIV-NAVA is well suitable for use and effective in reducing asynchronies as well as a surrogate for work of breathing.
Although increased synchrony was not transferred into an increased comfort, there was an advantage with regard to patient-ventilator interaction.
The trial was registered at the German clinical Trials Register (DRKS no.: DRKS00005408).
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Harnisch, L. O.& Olgemoeller, U.& Mann, J.& Quintel, Michael& Moerer, O.. 2020. Noninvasive Neurally Adjusted Ventilator Assist Ventilation in the Postoperative Period Produces Better Patient-Ventilator Synchrony but Not Comfort. Pulmonary Medicine،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1206553
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Harnisch, L. O.…[et al.]. Noninvasive Neurally Adjusted Ventilator Assist Ventilation in the Postoperative Period Produces Better Patient-Ventilator Synchrony but Not Comfort. Pulmonary Medicine No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1206553
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Harnisch, L. O.& Olgemoeller, U.& Mann, J.& Quintel, Michael& Moerer, O.. Noninvasive Neurally Adjusted Ventilator Assist Ventilation in the Postoperative Period Produces Better Patient-Ventilator Synchrony but Not Comfort. Pulmonary Medicine. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1206553
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1206553
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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