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Research ArticleOriginal Research

Neurally Adjusted Ventilatory Assist After Pediatric Cardiac Surgery: Clinical Experience and Impact on Ventilation Pressures

Benjamin Crulli, Mariam Khebir, Baruch Toledano, Suzanne Vobecky, Nancy Poirier and Guillaume Emeriaud
Respiratory Care February 2018, 63 (2) 208-214; DOI: https://doi.org/10.4187/respcare.05625
Benjamin Crulli
Pediatric Intensive Care Unit, CHU Sainte-Justine, Université de Montréal, Montréal, Québec, Canada.
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Mariam Khebir
Pediatric Intensive Care Unit, CHU Sainte-Justine, Université de Montréal, Montréal, Québec, Canada.
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Baruch Toledano
Pediatric Intensive Care Unit, CHU Sainte-Justine, Université de Montréal, Montréal, Québec, Canada.
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Suzanne Vobecky
Department of Pediatric Cardiovascular Surgery, CHU Sainte-Justine, Université de Montréal, Montréal, Quebec, Canada.
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Nancy Poirier
Department of Pediatric Cardiovascular Surgery, CHU Sainte-Justine, Université de Montréal, Montréal, Quebec, Canada.
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Guillaume Emeriaud
Pediatric Intensive Care Unit, CHU Sainte-Justine, Université de Montréal, Montréal, Québec, Canada.
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    Fig. 1.

    Flow chart. PICU = pediatric intensive care unit, NAVA = neurally adjusted ventilatory assist, NIV = noninvasive ventilation.

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    Fig. 2.

    Evolution of peak inspiratory pressure (PIP) and mean airway pressure (̄Paw) in the 4 h preceding and following the start of neurally adjusted ventilatory assist (NAVA). Box plots illustrate the median values, interquartile range, and spread.

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    Fig. 3.

    Evolution of peak inspiratory pressure (PIP) in the 4 h preceding and following the start of neurally adjusted ventilatory assist (NAVA) depending on the timing of NAVA initiation (before or after 72 h postadmission, A) or the presence of risk of right ventricular failure or low pulmonary flow (B). Data are presented as median with interquartile ranges.

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Respiratory Care: 63 (2)
Respiratory Care
Vol. 63, Issue 2
1 Feb 2018
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Neurally Adjusted Ventilatory Assist After Pediatric Cardiac Surgery: Clinical Experience and Impact on Ventilation Pressures
Benjamin Crulli, Mariam Khebir, Baruch Toledano, Suzanne Vobecky, Nancy Poirier, Guillaume Emeriaud
Respiratory Care Feb 2018, 63 (2) 208-214; DOI: 10.4187/respcare.05625

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Neurally Adjusted Ventilatory Assist After Pediatric Cardiac Surgery: Clinical Experience and Impact on Ventilation Pressures
Benjamin Crulli, Mariam Khebir, Baruch Toledano, Suzanne Vobecky, Nancy Poirier, Guillaume Emeriaud
Respiratory Care Feb 2018, 63 (2) 208-214; DOI: 10.4187/respcare.05625
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Keywords

  • respiratory support
  • noninvasive ventilation
  • mechanical ventilation
  • patient-ventilator interaction
  • cardio-respiratory interaction
  • patient-ventilator asynchrony
  • pediatric
  • cardiac surgery

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