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All four infants, including three who had required prolonged mechanical ventilation, maintained spontaneous ventilation on CPAP.
However, only three patients maintained spontaneous ventilation during the course of illness and all others required ventilatory support.
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Neurally adjusted ventilatory assist (NAVA) is a mode that improves patient ventilator interactions, thus helping to maintain spontaneous ventilation.
A propofol infusion was initiated concurrently and infused at rates 100 120 mcg/kg/min for the entire case titrated initially to maintain spontaneous ventilation.
Maintaining spontaneous ventilation, when possible, may augment venous return as well [ 8, 16, 30].
Few studies have shown that maintaining spontaneous ventilation could prevent VIDD in in vitro animal studies [ 2].
Weaning indices are objective criteria that are used to predict the readiness of patients to maintain spontaneous ventilation.
Before the start of the operation, all patients were sedated with midazolam or propofol (Propofol; Abbot), maintaining spontaneous ventilation.
Doses of sedatives and analgesics were limited so as to maintain spontaneous ventilation to a certain extent.
Following successful ventilation, anaesthesia was maintained with inhalation of sevoflurane and 33 40% nitrous oxide in oxygen in order to maintain spontaneous ventilation.
Dissociative conscious sedation as a method with the characteristics of maintaining spontaneous ventilation, patient cooperation, patient comfort and enough amnesia has been reported in 2011 [ 17].
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