Factor Information
Data ID 86
Factor Extubation success rate
Description NAVA compared with SIMV-PRVC+PS was associated with a greater initial extubation success rate. NAVA should be considered as a mechanical ventilator weaning strategy in postoperative CHD patients and warrants further investigation.
Biomarker NA
Classification A12 (clinical factor - treatment)
Association
Application diagnosis
Objective To compare the median duration of days on dopamine , milrinone, midazolam and fentanyl between the NAVA and the SIMV-PRVC+PS group.
p Value 0.032
Conclusion NAVA compared with SIMV-PRVC+PS was associated with a greater initial extubation success rate. NAVA should be considered as a mechanical ventilator weaning strategy in postoperative CHD patients and warrants further investigation.
Risk Factor unknown
CHD Type
ID 412
CHD Type isolated CHD
CHD Subtype ALCAPA/HAA/AS/AVC/DORV/EA/HLHS/PA/Shone's Complex/TAPVR/TGV/TOF/TA
Reference
PMID 31073487
Year 2019
Title Neurally Adjusted Ventilatory Assist Is Associated with Greater Initial Extubation Success in Postoperative Congenital Heart Disease Patients when Compared to Conventional Mechanical Ventilation.
Sample
Population Infants
Source Data
Region Tulsa, United States
Method non-randomized pilot study
Race North America
Disease History N/A
Treatment History postoperative CHD patients who required cardiopulmonary bypass and conventional MV for a minimum of 96 hours postoperatively without the ability to be weaned clinically or by blood gas analysis.
Group NAVA group(Treatment) SIMV-PRVC+PS group(Control)
Number 35 40
Age 1 month (Median) 2 month (Median)
Gender (Male: Female) 19:16 22:18
Marker Level 0.971 0.8