Respiration
Conditions
Keywords
Ventilatory care, children, intensive care, asynchrony, triggering, Children needing ventilatory care
Brief summary
The purpose of this study is to study whether neurally adjusted ventilatory assist (NAVA) provides advantages over current methods in detecting patients own breathing efforts in pediatric and neonatal ventilatory care. Our study hypothesis is that NAVA-technology is more accurate than currently used methods in detecting and assisting spontaneous breathing in children, and thus the patient-ventilator synchrony will improve.
Detailed description
Asynchrony means that the timing of support given by the ventilator is different from patients own breathing pattern. Asynchrony during ventilatory care may increase the risk for complications, make the weaning more difficult and may affect the survival rates. In this study we will compare two currently used methods pressure- and flow-triggering with a neurally adjusted ventilatory assist in synchronization of the ventilator support with patients own efforts.
Interventions
DEVICETriggering mode of the ventilator
10 min of each triggering mode
DEVICETriggering method of the ventilator
Flow triggering
Sponsors
Tampere University
University of Oulu
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 17 Years
Healthy volunteers
No
Inclusion criteria
* All children born over 30 weeks of gestation needing ventilatory care
Exclusion criteria
* Craniofacial malformation which does not allow feeding tobe positioning. Critical ventilatory or perfusion problems.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time in ventilator-patient synchrony in each of the assist modes. | 30 min |
Countries
Finland
Outcome results
None listed