title: Inappropriate use of neurally adjusted ventilator assist.
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.
authors.affiliation: Department of Anesthesia and Intensive Care, Children's Hospital Bambino Gesu, Rome, Italy. francesca_iodice@yahoo.it
authors.forename: Francesca
authors.initials: F
authors.lastname: Iodice
authors.forename: Giuseppina
authors.initials: G
authors.lastname: Testa
authors.forename: Antonio
authors.initials: A
authors.lastname: Amodeo
authors.forename: Paola
authors.initials: P
authors.lastname: Cogo
mesh_terms: D000293:Adolescent; D060666:Airway Extubation; D002311:Cardiomyopathy, Dilated / Q000503:physiopathology / Q000628:therapy*; D003964:Diaphragm / Q000294:innervation*; D015199:Extracorporeal Membrane Oxygenation; D006323:Heart Arrest / Q000209:etiology* / Q000517:prevention & control; D006353:Heart-Assist Devices; D006801:Humans; D015278:Intensive Care Units, Pediatric; D059725:Interactive Ventilatory Support / Q000379:methods*; D008297:Male; D020388:Muscular Dystrophy, Duchenne / Q000503:physiopathology / Q000628:therapy*; D011175:Positive-Pressure Respiration; D014139:Tracheostomy; D015300:Ventilator Weaning