Titration of analgosedation with neurally adjusted ventilatory assist in the ICU
2011
Using NAVA to Adjust Sedation in ICU Patients
Sample size: 50
publication
Evidence: moderate
Author Information
Author(s): Sucre MJ, De Nicola A
Primary Institution: San Leonardo Hospital, Castellammare di Stabia, Italy
Hypothesis
Can the neural signal of diaphragmatic electrical activity (EAdi) help to titrate the level of sedation?
Conclusion
NAVA effectively monitored lung activity and helped avoid complications related to patient-ventilator asynchrony.
Supporting Evidence
- The average duration of mechanical ventilation was 5.9 days.
- The analgosedation quality was 97%.
- NAVA helped avoid serious complications of patient-ventilator asynchrony.
Takeaway
Doctors used a special tool to help patients breathe better and feel comfortable while they were in the hospital. This tool helped them give just the right amount of medicine.
Methodology
A prospective observational study monitoring 50 coma patients using NAVA and recording EAdi values.
Participant Demographics
Coma patients in the ICU.
Statistical Information
P-Value
0.004
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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