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Updated: May 3, 2026

Investigation into Deep Breathing through Measurement of Ventilatory Parameters and Observation of Breathing Patterns
Published on: September 16, 2019
Physiological comparison of breathing patterns with neurally adjusted ventilatory assist (NAVA) and pressure-support
Henri Meric1, Pascale Calabrese2, Didier Pradon1
1Centre d'Investigation Clinique - Innovations Technologiques, Services de Physiologie - Explorations Fonctionnelles, Hôpital Raymond Poincaré, AP-HP, France; E.A. 4497, Université de Versailles-Saint Quentin en Yvelines, 92380 Garches, France.
Abstract:
Neurally adjusted ventilator assist (NAVA) assists spontaneous breathing in proportion to diaphragmatic electrical activity (EAdi). Here, we evaluate the effects of various levels of NAVA and PSV on the breathing pattern and, thereby, on [Formula: see text] homeostasis in 10 healthy volunteers. For each ventilation mode, four levels of support (delivered pressure 0 i.e. baseline, 5, 8, and 10cmH2O) were tested in random order. EAdi, flow, and airway pressure were recorded. Optoelectronic plethysmography was used to study lung volume distribution. During both PSV and NAVA, EAdi decreased with the level of assistance (P<0.01). Tidal volume (VT) increased and [Formula: see text] decreased with increased levels of PSV (P=0.044 and P=0.0004; respectively) while no change was observed with NAVA. Subject-ventilator synchronization was better with NAVA than with PSV. NAVA and PSV similarly decreased the abdominal contribution to VT. No airflow profile similarities were observed between baseline and mechanical ventilation. Diaphragmatic activity can decrease during NAVA without any change in VT and [Formula: see text] . This suggests that NAVA adjustment cannot be based solely on VT and [Formula: see text] criteria. Registered by Frédéric Lofaso and Nicolas Terzi on ClinicalTrials.gov, #NCT01614873.
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