1. ANALOGY PATIENT ANALOGY

2. PATIENT ANALOGY Minute volume Diaphragm Daily metabolic challenges

3. ANALOGY PATIENT ANALOGY Minute volume Diaphragm Daily metabolic challenges Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems

4. ANALOGY Pathology (secretions) PATIENT ANALOGY Minute volume Diaphragm If engine works with less than 4 cylinders – diaphragm pathology Daily metabolic challenges Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems

5. ANALOGY VENTILATOR ?

6. ANALOGY VENTILATOR

7. ANALOGY Pathology PATIENT ANALOGY Minute volume Diaphragm Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems If engine works with less than 4 cylinders – diaphragm pathology Daily metabolic challenges VENTILATOR P peak

8. ANALOGY Pathology PATIENT ANALOGY Minute volume Diaphragm Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems If engine works with less than 4 cylinders – diaphragm pathology Daily metabolic challenges VENTILATOR P peak Conventional Ventilator triggers (pushes more) when patient pulls Ventilator does not see need for speed, and fast metabolic changes, rather estimates and maintains constant speed, as synchronious as possible.

9. ANALOGY Pathology PATIENT Minute volume Diaphragm Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems If engine works with less than 4 cylinders – diaphragm pathology Daily metabolic challenges VENTILATOR P peak NAVA introduces link (Edi) between patients carburettor, and push trucks accelerator

10. ANALOGY Pathology PATIENT ANALOGY Minute volume Diaphragm Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems If engine works with less than 4 cylinders – diaphragm pathology Daily metabolic challenges VENTILATOR P peak NAVA Level NAVA introduces link (Edi) between patients carburettor, and push trucks accelerator Edi max signal (= Peak Pressure), Tidal volume and Breath rate (= Minute volume) are controlled by the patient

11. ANALOGY Pathology PATIENT ANALOGY Minute volume Diaphragm Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems If engine works with less than 4 cylinders – diaphragm pathology Daily metabolic challenges VENTILATOR P peak NAVA Level NAVA introduces link (Edi) between patients carburettor, and push trucks accelerator (Small) NAVA level increase or decrease usually results in instantaneous Edi signal correction

12. ANALOGY PATIENT ANALOGY Minute volume Diaphragm Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems If engine works with less than 4 cylinders – diaphragm pathology Daily metabolic challenges VENTILATOR P peak NAVA Level NAVA introduces link (Edi) between patients carburettor, and push trucks accelerator Healing (pathology clearing) will result in lower Edi

13. ANALOGY PATIENT ANALOGY Minute volume Diaphragm Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems Daily metabolic challenges VENTILATOR P peak NAVA Level NAVA introduces link (Edi) between patients carburettor, and push trucks accelerator (faster) Engine improvement (4 cylinders working) will result with lower Edi, AND lower Peak Pressure (more pull)

14. ANALOGY Minute volume Daily metabolic challenges NAVA Level NAVA introduces link (Edi) between patients carburettor, and push trucks accelerator PATIENT Pathology Accelerator – respiratory centre Acc. Cable – phrenic nerve Carburettor throttle opening – Edi Rusted accelerator cable – neurological problems If engine works with less than 4 cylinders – diaphragm pathology VENTILATOR P peak Diaphragm ANALOGY