Proportional Assist Ventilation and Neurally Adjusted Ventilatory Assist
Bibliographic record
Abstract
Historically, patients in need of mechanical ventilation were often heavily sedated or paralyzed and placed on time-cycled modes of ventilation. There is now clear evidence showing that reduced sedation and spontaneous breathing improve patient outcome in terms of days on ventilation and mortality [1]. Under these conditions (less sedation and more spontaneous breathing), unless the patient ‘entrains’ themselves to the rate of the breath delivery, time-cycled modes may not be the most appropriate, especially in light of the recent work demonstrating that patient-ventilator asynchrony increases the duration of mechanical ventilation and mortality [2]. Two new modes of mechanical ventilation are now available on the market that can synchronize not only the timing, but also the level of assist to the patient’s own effort, PAV and NAVA. This article describes the concepts related to PAV and NAVA, their similarities and their differences, and the recent physiological studies. For a more detailed review of this topic, the reader is referred to Sinderby and Beck [3].
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.017 | 0.006 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".