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Updated: May 18, 2026

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide
Published on: January 30, 2026
Inappropriate use of neurally adjusted ventilator assist
Francesca Iodice1, Giuseppina Testa, Antonio Amodeo
1Department of Anesthesia and Intensive Care, Children's Hospital Bambino Gesu, Rome, Italy. francesca_iodice@yahoo.it
Abstract:
Neurally adjusted ventilator assist (NAVA) is a ventilator mode based on providing assistance to the patient in proportion to the electrical activity of the diaphragm. NAVA may improve patient-ventilator interactions. We describe a very complex case of a child with a permanent ventricular assist device where we attempted to use NAVA during the weaning process and then realised that it was impossible to use.
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