Abstract

Neurally adjusted ventilatory assist (NAVA)and non-invasively-NAVA are safe and feasible mode of ventilation in both the pediatric and the neonatal populations.NAVA mode has excellent synchrony and is superior over conventional mode at improving patient-ventilator interaction.NAVA is least vulnerable to changes in airway disease or airway resistance patterns.Non-invasively-NAVA delivers synchronized ventilation independent of leaks.NAVA offers maintenance of physiologic variability in breathing.NAVA can effectively avoid excessive ventilation, assist the weaning and has a lung protective function.Bedside monitoring of Edi is a useful tool for evaluating diaphragm function, central apnea, clinical interventions, and decision support.Further high-quality studies are required to evaluate the long-term clinical prognosis for NAVA mode utilizing in pediatric patients. Key words: Mechanical ventilation; Neurally adjusted ventilatory assist; Electrical activity of the diaphragm; Non-invasively neurally adjusted ventilatory assist; Synchrony; Patient-ventilator interaction; Children,

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