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Research ArticleOriginal Research

Feasibility Study on Neurally Adjusted Ventilatory Assist in Noninvasive Ventilation After Cardiac Surgery in Infants

Laurent Houtekie, Damien Moerman, Amaury Bourleau, Grégory Reychler, Thierry Detaille, Emilien Derycke and Stéphan Clément de Cléty
Respiratory Care July 2015, 60 (7) 1007-1014; DOI: https://doi.org/10.4187/respcare.03624
Laurent Houtekie
Pediatric Critical Care Unit, Cliniques Universitaires Saint-Luc, Brussels
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  • For correspondence: [email protected]
Damien Moerman
Pediatric Critical Care Unit, Cliniques Universitaires Saint-Luc, Brussels
Department of Physical Medicine and Rehabilitation, Cliniques Universitaires Saint-Luc, Brussels
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Amaury Bourleau
Department of Physical Medicine and Rehabilitation, Centre Hospitalier Universitaire Dinant-Mont-Godinne, Yvoir
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Grégory Reychler
Service de Pneumologie, Cliniques Universitaires Saint-Luc, Pôle de Pneumologie, ORL and Dermatologie, Université Catholique de Louvain, and the Institut de Recherche Expérimentale et Clinique, Brussels, Belgium.
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Thierry Detaille
Pediatric Critical Care Unit, Cliniques Universitaires Saint-Luc, Brussels
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Emilien Derycke
Pediatric Critical Care Unit, Cliniques Universitaires Saint-Luc, Brussels
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Stéphan Clément de Cléty
Pediatric Critical Care Unit, Cliniques Universitaires Saint-Luc, Brussels
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  • Fig. 1.
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    Fig. 1.

    Flow diagram. nCPAP = nasal CPAP, NIV-NAVA = noninvasive neurally adjusted ventilatory assist.

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    Fig. 2.

    Airway pressure (Paw) and diaphragmatic electrical activity (EAdi) curves (A: simulated, B: actual subject) showing a discontinuous inspiration. The escalation of the curves is similar in both the pressure and diaphragmatic electrical activity curve.

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    Fig. 3.

    Diaphragmatic electrical activity (EAdi) curves showing a continuous effort (A: simulated, B: actual subject curve). The intermediate minimum EAdi (EAdi min) is higher than the minimum EAdi from the start and at the end. The intermediate minimum EAdi is higher than 1 μV.

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    Fig. 4.

    Actual subject pressure and diaphragmatic electrical activity (EAdi) curves showing pneumatic inspiratory trigger (*) and early expiration (**).

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Respiratory Care: 60 (7)
Respiratory Care
Vol. 60, Issue 7
1 Jul 2015
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Feasibility Study on Neurally Adjusted Ventilatory Assist in Noninvasive Ventilation After Cardiac Surgery in Infants
Laurent Houtekie, Damien Moerman, Amaury Bourleau, Grégory Reychler, Thierry Detaille, Emilien Derycke, Stéphan Clément de Cléty
Respiratory Care Jul 2015, 60 (7) 1007-1014; DOI: 10.4187/respcare.03624

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Feasibility Study on Neurally Adjusted Ventilatory Assist in Noninvasive Ventilation After Cardiac Surgery in Infants
Laurent Houtekie, Damien Moerman, Amaury Bourleau, Grégory Reychler, Thierry Detaille, Emilien Derycke, Stéphan Clément de Cléty
Respiratory Care Jul 2015, 60 (7) 1007-1014; DOI: 10.4187/respcare.03624
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Keywords

  • asynchrony
  • cardiac surgery
  • congenital cardiopathy
  • noninvasive ventilation
  • NAVA
  • nasal CPAP
  • infants 1

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