La ventilación ajustada neuralmente es eficaz en el destete y la extubación del recién nacido prematuro / Successful weaning and extubation in the premature newborn using neurally adjusted ventilatory assist
An. pediatr. (2003, Ed. impr.)
; 82(1): e126-e130, ene. 2015. ilus
Article
in Spanish
| IBECS
| ID: ibc-131695
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
La asistencia respiratoria al recién nacido prematuro puede asociarse a complicaciones locales y sistémicas producto del traumatismo mecánico a los tejidos y la respuesta inflamatoria que en ellos se desencadena. Un objetivo fundamental, por tanto, es reducir su duración y efectos adversos. La ventilación ajustada neuralmente (NAVA), al mejorar la sincronización entre paciente y máquina, y optimizar los volúmenes de gas entregados a las necesidades de aquel, podría ser una herramienta fundamental en la consecución de dicho objetivo. Presentamos 2 casos de pacientes prematuros con síndrome de distrés respiratorio grave que pudieron ser satisfactoriamente destetados y extubados con esta modalidad asistencial. Nuevos estudios son necesarios para evaluar si los beneficios inmediatos se reflejan en mejores resultados a largo plazo
ABSTRACT
Invasive and non-invasive ventilation of the preterm newborn may be associated with local and systemic complications due to mechanical trauma to lung tissues and their inflammatory response. A key objective of any type of mechanical ventilation, therefore, is to reduce its duration and the side effects related to it. Neurally Adjusted Ventilatory Assist (NAVA) may improve synchronization between patient and ventilator and optimize the gas volume delivered to the lungs, according to the patient needs, eventually reducing volu- and biotrauma. Two preterm babies with severe respiratory distress syndrome are presented, who were successfully weaned and extubated with the help of this ventilatory system. Further studies are needed to assess whether short-term benefits are reflected in better outcomes in the long run
Full text:
Available
Collection:
National databases
/
Spain
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5
Health problem:
Target 3.2: Reduce avoidable death in newborns and children under 5
/
Neonatal Healthcare
Database:
IBECS
Main subject:
Respiration, Artificial
/
Pharmaceutical Preparations
/
Interactive Ventilatory Support
Limits:
Female
/
Humans
/
Male
/
Infant, Newborn
Language:
Spanish
Journal:
An. pediatr. (2003, Ed. impr.)
Year:
2015
Document type:
Article
Institution/Affiliation country:
Complejo Hospitalario Universitario Insular Materno-Infantil de Canarias/España