This project aims to answer whether the use of a Neurally-Adjusted Ventilatory Assistance mode for non-invasive ventilation in pediatric patients with bronchiolitis results in improved comfort and reduced escalations in therapy (including intubation) when compared to using a standard mode of non-invasive ventilation. Neurally-Adjusted Ventilatory Assistance (NAVA) has been shown to result in greater synchrony then the standard mode of non-invasive ventilation. The study team hypothesizes that this improved synchrony can result in important clinical improvements when NAVA is used to treat children with bronchiolitis.
Patients under the age of two years old with a diagnosis of bronchiolitis presenting to the pediatric ICU
Patient's provider believes there is equipoise between the use of NAVA or conventional non-invasive ventilation for the patient
Patients unable to utilize a nasogastric tube
Patients with a diagnosis of chronic lung disease, cyanotic heart lesions, or congestive heart failure
Patients with hypotonia
Patients likely to require imminent intubation: >0.60 Fraction of Inspired Oxygen (FiO2); Carbon Dioxide (CO2) > 60, frequent apneas, clinician determines patient unlikely to tolerate non-invasive modality)