Case report: Non‐invasive neurally adjusted ventilatory assist in a newborn with unilateral diaphragmatic paralysis. Issue 11 (19th April 2016)

• Record Type: Journal Article
• Authors: Roosens, Sander; Derriks, Frank; Cools, Filip
• Is Part Of: Pediatric pulmonology. Volume 51:Issue 11(2016:Nov.)
• Page Start: E37
• Page End: E39
• Publication Date: 2016-04-19
• Subjects: diaphragmatic paralysis -- non‐invasive nava -- niv‐nava -- neurally adjusted ventilatory assist -- respiratory distress; Pediatric respiratory diseases -- Periodicals; Pediatrics -- Periodicals; 618.922
• DOI: 10.1002/ppul.23447
• Languages: English
• ISSNs: 8755-6863

Abstract

Summary: Diaphragmatic paralysis is a rare cause of respiratory distress in the newborn. In this paper, a patient with unilateral phrenic nerve injury after traumatic delivery is presented. The child inadequately responded to standard respiratory supportive measures. Non‐invasive neurally adjusted ventilatory assist (NIV‐NAVA®), providing an optimally synchronized respiratory support proportional to the effort of the patient, resulted in prompt clinical and biological improvement of the patient's respiratory condition. NAVA is a relatively new mode of ventilation in neonatal care. In this case of unilateral diaphragmatic paralysis, it provided an alternative strategy of non‐invasive respiratory support avoiding prolonged mechanical ventilation.Pediatr Pulmonol. 2016;51:E37–E39. © 2016 Wiley Periodicals, Inc.