NON-INVASIVE NAVA AS AN INITIAL METHOD OF ARTIFICIAL VENTILATION IN A PREMATURE NEWBORN WITH EXTREMELY LOW BIRTH WEIGHT. CLINICAL CASE
Abstract
Optimal respiratory support in newborns with critical body weight is one of the priorities in providing quality medical care. Currently, the criteria for eff ective ventilation are not only a stable level of saturation and reference values of blood gas composition, but also maintaining a balance between the proposed respiratory support and the respiratory needs of the child. In addition, a very important condition for protective ventilation in these patients is minimizing mechanical impact, which plays a key role in the development of ventilator-induced lung damage and bronchopulmonary dysplasia. In this regard, approaches to initial respiratory support must be not only justifi ed, but also safe. A clinical case of the successful use of non-invasive NAVA ventilation as a starting method of respiratory support in premature newborns with a birth weight of 660 g is presented. The parameters of focal echocardiography are analyzed; the dynamics of X-ray images and blood gas parameters are presented. The influence of this regimen on the efficiency of spontaneous breathing and the general condition of the child was assessed.
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