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

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.