Case report: Non-invasive neurally adjusted ventilatory assist in a newborn with unilateral diaphragmatic paralysis.
Diaphragmatic paralysis is a rare cause of respiratory distress in the newborn. In this paper, a patient with unilateral phrenic nerve injury after traumatic delivery is presented. The child inadequately responded to standard respiratory supportive measures. Non-invasive neurally adjusted ventilatory assist (NIV-NAVA®), providing an optimally synchronized respiratory support proportional to the effort of the patient, resulted in prompt clinical and biological improvement of the patient's respiratory condition. NAVA is a relatively new mode of ventilation in neonatal care. In this case of unilateral diaphragmatic paralysis, it provided an alternative strategy of non-invasive respiratory support avoiding prolonged mechanical ventilation. Pediatr Pulmonol. 2016;51:E37-E39. © 2016 Wiley Periodicals, Inc.
Department of Neonatology, Universitair Ziekenhuis Brussel, Brussels, Belgium. sander.roosens@uzbrussel.be.
Sander
S
Roosens
Department of Neonatology, Universitair Ziekenhuis Brussel, Brussels, Belgium.
Frank
F
Derriks
Department of Neonatology, Universitair Ziekenhuis Brussel, Brussels, Belgium.
Filip
F
Cools
D006801:Humans; D007231:Infant, Newborn; D059725:Interactive Ventilatory Support / Q000379:methods*; D008297:Male; D012119:Respiration; D012133:Respiratory Paralysis / Q000628:therapy*; D016896:Treatment Outcome
diaphragmatic paralysis; neurally adjusted ventilatory assist; niv-nava; non-invasive nava; respiratory distress