Perspectives of medical staff on respiratory management with neurally adjusted ventilatory assist in preterm infants.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-08-16 DOI:10.1038/s41372-025-02376-0

Yuta Kato, Seiichi Tomotaki, Katsuya Hirata, Yosuke Yamada, Arata Oda

{"title":"Perspectives of medical staff on respiratory management with neurally adjusted ventilatory assist in preterm infants.","authors":"Yuta Kato, Seiichi Tomotaki, Katsuya Hirata, Yosuke Yamada, Arata Oda","doi":"10.1038/s41372-025-02376-0","DOIUrl":null,"url":null,"abstract":"Objective: This study aimed to examine physicians' and nurses' perspectives of neurally adjusted ventilatory assist (NAVA) and electrical activity of the diaphragm (Edi) in management of extremely low birth weight (ELBW) infants for further improvement of respiratory management and care.Study design: An anonymous survey about the effectiveness, benefits, and challenges of NAVA and Edi were conducted from December 2021 to February 2022 in 29 institutions in Japan.Result: A total of 497 responses (by 148 physicians and 349 nurses) from 22 institutions were analyzed. Most medical staff found NAVA and non-invasive NAVA beneficial, particularly for improving oxygenation and ventilation, though some physicians voiced concerns about potential respiratory condition worsening. Edi was considered important for assessing the respiratory status and facilitating communication between healthcare providers.Conclusion: While many physicians and nurses consider NAVA to have promising advantages for respiratory management of ELBW infants, its implementation requires comprehensive training and education.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perinatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41372-025-02376-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study aimed to examine physicians' and nurses' perspectives of neurally adjusted ventilatory assist (NAVA) and electrical activity of the diaphragm (Edi) in management of extremely low birth weight (ELBW) infants for further improvement of respiratory management and care.

Study design: An anonymous survey about the effectiveness, benefits, and challenges of NAVA and Edi were conducted from December 2021 to February 2022 in 29 institutions in Japan.

Result: A total of 497 responses (by 148 physicians and 349 nurses) from 22 institutions were analyzed. Most medical staff found NAVA and non-invasive NAVA beneficial, particularly for improving oxygenation and ventilation, though some physicians voiced concerns about potential respiratory condition worsening. Edi was considered important for assessing the respiratory status and facilitating communication between healthcare providers.

Conclusion: While many physicians and nurses consider NAVA to have promising advantages for respiratory management of ELBW infants, its implementation requires comprehensive training and education.

查看原文本刊更多论文

医护人员对早产儿神经调节通气辅助呼吸管理的看法。

目的：本研究旨在探讨医生和护士对神经调节通气辅助（NAVA）和膈电活动（Edi）在极低出生体重（ELBW）婴儿呼吸管理和护理中的看法，以进一步改善呼吸管理和护理。研究设计：从2021年12月至2022年2月，在日本29家机构进行了一项关于NAVA和Edi的有效性、益处和挑战的匿名调查。结果：对来自22家机构的497份问卷（148名医生和349名护士）进行分析。大多数医务人员发现NAVA和无创NAVA是有益的，特别是在改善氧合和通气方面，尽管一些医生表达了对潜在的呼吸疾病恶化的担忧。Edi被认为对评估呼吸状态和促进医疗保健提供者之间的沟通很重要。结论：虽然许多医生和护士认为NAVA在ELBW婴儿呼吸管理中具有很好的优势，但其实施需要全面的培训和教育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.