Inappropriate use of neurally adjusted ventilator assist

Francesca Iodice; Giuseppina Testa; Antonio Amodeo; Paola Cogo

doi:10.1136/bcr-10-2011-5029

Inappropriate use of neurally adjusted ventilator assist

BMJ Case Rep. 2012 Sep 3:2012:bcr1020115029. doi: 10.1136/bcr-10-2011-5029.

Authors

Francesca Iodice¹, Giuseppina Testa, Antonio Amodeo, Paola Cogo

Affiliation

¹ Department of Anesthesia and Intensive Care, Children's Hospital Bambino Gesu, Rome, Italy. [email protected]

Abstract

Neurally adjusted ventilator assist (NAVA) is a ventilator mode based on providing assistance to the patient in proportion to the electrical activity of the diaphragm. NAVA may improve patient-ventilator interactions. We describe a very complex case of a child with a permanent ventricular assist device where we attempted to use NAVA during the weaning process and then realised that it was impossible to use.

Publication types

Case Reports

MeSH terms

Adolescent
Airway Extubation
Cardiomyopathy, Dilated / physiopathology
Cardiomyopathy, Dilated / therapy*
Diaphragm / innervation*
Extracorporeal Membrane Oxygenation*
Heart Arrest / etiology*
Heart Arrest / prevention & control
Heart-Assist Devices*
Humans
Intensive Care Units, Pediatric
Interactive Ventilatory Support / methods*
Male
Muscular Dystrophy, Duchenne / physiopathology
Muscular Dystrophy, Duchenne / therapy*
Positive-Pressure Respiration
Tracheostomy
Ventilator Weaning*