Peter Rimensberger is an intensivist in Geneva, well known for his work on ventilation. PicPod interviewed him during the PICS/PCICS conference in London in November.

NAVA (Neurally Adjusted Ventilatory Assist) mode uses an oesophageal probe to sense diaphragmatic electrical impulse, and adds ventilatory power to assist depending on how much the patient is working.

Sounds sensible: but does it work? What is the evidence base? Is it something which should be used in all, most, some, or no patients? Which patients should we target this to?

And with conventional ventilation modes, should we be using pressure or volume set modes?

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