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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.09.Ph.D.2019.Hu.P
100 0 _aHussam Abdelfatah Mohamed Kamal
245 1 0 _aPatient-ventilator synchrony in neurally adjusted ventilatory assist(NAVA)and pressure support ventilation(PSV):a prospective observational /
_cHussam Abdelfatah Mohamed Kamal ; Supervised Alia Abdelfatah , Khalid Abdelwahab Selim , Moemen Yehia Mohamed
246 1 5 _aدراسه مقارنه فى التناغم بين المريض وجهاز التنفس الصناعى وذلك بإستخدام نظام الدعم التنفسى بواسطه الضغط ونظام الدعم التنفسى بواسطه التحكم العصبى
260 _aCairo :
_bHussam Abdelfatah Mohamed Kamal ,
_c2019
300 _a95 P. :
_bcharts ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520 _aIntroduction: Asynchronies between patient and mechanical ventilator despite optimal adjustment of ventilator parameters are common problem that is partly associated with difficult weaning of mechanical ventilator. NAVA is a mode of proportional ventilation that count on diaphragmatic activity (measured by special esophageal probe and expressed as Edi) to provide proportional support to patient effort which differs from one breath to another according to Edi signal. Patients and Methods: This is a prospective randomized control study conducted on 30 critically ill, invasively ventilated patients admitted to the ICU of Suez Canal Authority Hospital during the period from June 2017 till August 2018. Patients were randomly divided into two groups: group A include fifteen patients were ventilated in PSV (as a weaning mode) only and evaluated for successful weaning and group B: Fifteen Patients were successively ventilated for 24 h using PSV and then they were ventilated for another 24 h in the NAVA (as a weaning mode). The patient{u2019}s physician optimized the ventilator settings in the particular PSV mode to limit the appearance of asynchronies.The incidence of different types of desynchrony was compared between the two modes, then group B patients were evaluated for successful weaning using NAVA and compared to group A
530 _aIssued also as CD
653 4 _a Neurally adjusted ventilatory assist (NAVA)
653 4 _a Patient ventilator asynchrony
653 4 _a Pressure support ventilation (PSV)
700 0 _aAlia Abdelfatah ,
_eSupervisor
700 0 _aKhalid Abdelwahab Selim ,
_eSupervisor
700 0 _aMoemen Yehia Mohamed ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c73420
_d73420