Neurally Adjusted Ventilatory Assist (NAVA®) is a unique approach to mechanical ventilation based on neural respiratory output. With NAVA, the electrical activity of the diaphragm (Edi) is captured, fed to the ventilator and used to assist the patient’s breathing in synchrony with and in proportion to the patient’s own efforts, regardless of patient category or size.
As the work of the ventilator and the diaphragm is controlled by the same signal, coupling between the diaphragm and the SERVO-i® ventilator is synchronized virtually simultaneously.
NAVA is available for both invasive and non-invasive ventilation (NIV), assuring effective patient-ventilator synchrony independent of patient interface.
An established treatment worldwide
NAVA is used in intensive care units in countries all around the world for neonatal, pediatric and adult patients. Clinical evidence for NAVA has been documented in multiple clinical studies in scientific peer-reviewed journals, a body of work that continues to grow exponentially every year.
NAVA and the breathing process
- The brain’s respiratory center sends a signal, which travels via the phrenic nerve, exciting the diaphragm.
- The Edi catheter captures the electrical activity of the diaphragm.
- The SERVO-i ventilator uses the Edi signal to synchronize ventilation to the patient’s breathing effort.
In conventional NIV, leaking around the mask is a major contributor to asynchrony between patient and ventilator. This can lead to patient discomfort, under-assist and other complications. For infants and neonates, conventional NIV can also be complicated by the inability of the ventilator’s pressure and flow triggers to reliably detect the infant’s weak effort to breathe.
NIV NAVA is neurally controlled
The assist is matched to neural demands and is delivered regardless of leakage associated with the patient interfaces. Breath triggering and cycle off are not affected by leakage, and every patient effort - independent of type of interface - is assessed and responded to equally effectively for all patients from adult to the smallest neonates.
Find NAVA experience in our peer-to-peer forum
The Critical Care News website is a forum hosted by Maquet Critical Care for intensive care clinicians to share clinical experience of NAVA. The website is a primary source of user information about NAVA and NIV NAVA, and contains up-to-date lists of clinical literature reference lists, neonatal, pediatric and adult patient case reports as well as numerous NAVA lectures and interviews with intensive care physicians about NAVA.