Effectiveness of neurally adjusted ventilatory assist in weaning at the Bach Mai Hospital’s ICU

  • Phuc Nguyen Duc Bệnh viện Hữu nghị Đa khoa Nghệ An
  • Binh Nguyen Gia Bệnh viện Bạch Mai
  • Tuyet Le Thi Diem Bệnh viện Bạch Mai
  • Co Dao Xuan Bệnh viện Bạch Mai

Main Article Content

Keywords

Neurally adjusted ventilatory assist, weaning from mechanical ventilation

Abstract

Objective: To compare effectiveness of the neurally adjusted ventilatory assist (NAVA) with pressure support ventilation (PSV) in weaning process. Subject and method: 65 patients in the Bach Mai Hospital’s ICU were enrolled in the randomized control trial from the 1st of October 2015 to 30th of October 2017, in which 33 patients were mechanically ventilated by NAVA and 32 patients were on PSV. Result: Successful weaning rate in the NAVA group was 60.6% while this rate in the PSV group was 56.2% (p>0.05). Meanwhile, asynchronous index were 8.54% and 11.85% (p<0.001) for NAVA and PSV groups respectively. The total numbers of asynchronization were 2.21 ± 1.0 for the NAVA group and 2.95 ± 1.57 (p<0.001) for the PSV group. Free ventilating days by day 7th were  3.09 ± 1.62 days for NAVA and 3.52 ± 1.60 days for PSV (p>0.05). Moreover, the mortality rates by day 28th were 6.1% in the NAVA group compared to 6.2% in the PSV group (p>0.05). Conclusion: The neurally adjusted ventilatory assist has reduced patient-ventilator asynchronization.

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References

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Published
Oct 10, 2019
Issue
Volume 14 - No 6/2019
Section
Articles
How to Cite
Nguyen DucP., Nguyen GiaB., Le Thi DiemT., & Dao XuanC. (2019). Effectiveness of neurally adjusted ventilatory assist in weaning at the Bach Mai Hospital’s ICU. Tạp Chí Y Dược lâm sàng 108, 14(6). Retrieved from https://tcydls108.benhvien108.vn/index.php/YDLS/article/view/103