The role of monitoring the electrical activity of the diaphragm in a comprehensive assessment of the effectiveness of intensive treatment in premature infants with extremely low birth weight

Abstract

Premature newborns are patients who need detailed monitoring of vital processes such as respiration, blood circulation, central and peripheral perfusion, and brain activity. From this point of view, the use of modern methods of visualization of respiratory activity, which can be implemented in the NAVA mode, is a very promising solution to this problem. Our study shows that adequate respiratory support not only contributes to the prevention of ventilator-induced diseases but also reduces the duration of ventilation and the length of stay of patients in the intensive care unit. In addition, this study presents a comparative description of some indicators of ventilation parameters such as peak pressure and tidal volume. We also analyzed the values of gas composition of the venous blood during the first three days. The incidence of bronchopulmonary dysplasia, intraventricular hemorrhages and retinopathy depending on the mode, parameters and duration of ventilation in premature newborns with extremely low birth weight was estimated.