Archives of Critical Care Medicine

Introduction: As a newly developed mode of mechanical ventilation and based on diaphragmatic electrical signals, neurally-adjusted ventilator assist (NAVA) allows better synchronization of spontaneous breathing with ventilator support as well as pressure assistance adjusted to patient's need. NAVA use has not been reported from Iran yet.

Case Presentation: We presented a case series of six patients in whom NAVA was used at least temporarily during admission in a mixed closed intensive care unit in Nemazee Hospital, southern of Iran, for various purposes including weaning, reducing patient-ventilator asynchrony, and primary ventilator support.

Conclusions: According to our early limited experience, NAVA could be beneficial for different purposes during ventilator support in adult patients, especially during weaning process. Nonetheless, financial obstacles restrict even its selected usage by intensivists in our country