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Neonatal Ventilation And Lung Protection  - A preemie is supplied with oxygen

Neonatal Ventilation And Lung Protection

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Neonatal ventilation is an important part of the care delivered in the neonatal intensive care unit (NICU). But ventilation of preemies and neonates is a substantial challenge for even the most experienced caregiver: Respiratory insufficiency remains one of the major causes of neonatal mortality. Despite the introduction of sophisticated conventional ventilation, there are still some neonates who cannot be adequately ventilated. 

Immature lungs and underdeveloped breathing require extremely gentle ventilation and advanced technology. The aim of any ventilation strategy is therefore to support the premature infant’s respiratory system without inducing damage to the lung or the brain. Our ventilation strategies accompany neonates and care givers from the beginning to the end of respiratory challenges: It is our aim to help you prevent or minimise pulmonary injury, impairment and work of breathing, whilst optimising comfort and allowing your little patients to grow safely. 

Improve your outcome with Volume Guarantee

Volume Guarantee is a mode of ventilation used for measuring tidal volumes and monitoring changes in lung characteristics with sophisticated software algorithms. It has been designed to combine the advantages of both pressure-limited ventilation and volume-controlled ventilation. Clinical evidence has shown that babies ventilated with Volume Guarantee are more likely to survive – free of lung damage and chronic diseases. These benefits can also attribute to cost reductions in Neonatal Care.

Neonatal Ventilation And Lung Protection  - Insight into how volume guarantee can personalise neonatal ventilationPlay video

Downloads to enrich your knowledge

Volume Guarantee for neonates
Volume Guarantee for neonates

Read more about new approaches in volume targeted ventilation for newborn babies.

Prof. Martin Keszler on Neonatal Ventilation
Neonatal ventilation interview with Prof. Martin Keszler

Prof. Martin Keszler talks about how neonatal ventilation has progressed throughout the years and how volume guarantee can support a positive outcome of neonatal ventilation.

Case study: volume guarantee in Seattle
Volume guarantee case study

In this case study, you will read about the initiation and ongoing clinical management of infants supported by volume guarantee.

Option Sheet: Volume Ventilation Tool for Neonatal Respiratory Care
Volume ventilation tool option sheet

The volume ventilation option for the Babylog VN500 combines the benefits of volume guarantee with the safety of mandatory minute ventilation to enhance synchrony and to reduce mean airway pressure.

Literature list: Volume Guarantee
Volume guarantee literature list

Want to read more about clinical studies, cases and reviews on volume guarantee? Take a look at our literature list.

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Neonatal Monitoring Accessories

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Neonatal Thermoregulation and Phototherapy

Neonatal Thermoregulation and Phototherapy

High-Frequency Oscillatory Ventilation (HFOV) for Neonates

HFOV is a mode of ventilation which has been in clinical use for over thirty years. In many hospitals around the world, HFOV is now an established first-intention ventilation approach for respiratory disease. HFOV is used to treat diseases such as respiratory distress syndrome, pneumonia, meconium aspiration syndrome, persistent pulmonary hypertension of the newborn and lung hypoplasia – more successfully and more gently than conventional ventilation.

Watch our webinar: HFOV in the preterm infant

Webinar on high frequency oscillatory ventilation in premature babiesPlay video

The webinar “High Frequency Oscillatory Ventilation in Preterm Infants” with Prof. Giovanni Vento, will help you become familiar with the clinical application of HFOV – combining volume guarantee with HFOV, as well as troubleshooting and recruitment strategies.

Watch our webinar: High-Frequency Ventilation

Webinar on practical application approaches for high frequency oscillatory ventilationPlay video

This webinar focuses on High Frequency Oscillatory Ventilation (HFOV). Particular emphasis is placed on understanding the basis for practical application approaches that maximise the potential benefits and minimise the risk of adverse outcomes of HFOV therapy. Additionally, theoretical background information for lung protective and efficient application are given. A step-by-step approach for the application of HFOV with the Babylog VN500 is presented, alongside clinical recommendations and guidance on how to set and optimise therapy with HFO.

Recommended downloads

Theoretical and practical applications of HFOV
Theoretical and practical applications of HFOV booklet

This webinar focuses on High Frequency Oscillatory Ventilation. Particular emphasis is placed on understanding the basis for practical application approaches that maximise the potential benefits and minimise the risk of adverse outcomes of HFOV therapy.

Option Sheet: High Frequency Oscillation
High frequency oscillation option sheet

The Babylog VN500 provides powerful and consistent High Frequency Oscillation delivery as well as other useful tools, such as combining High Frequency Oscillation with Volume Guarantee (HFO-VG) and High Frequency Oscillation integrating Sigh functionality (HFO-Sigh).

Fact sheet: High Frequency Oscillation

Mandatory Minute Ventilation (MMV)

Mandatory Minute Ventilation (MMV) is a relatively simple closed-loop mode of ventilation, whereby the ventilator delivers pressure-limited, volume-targeted mandatory breaths when the minute volume (generated by pressure supported spontaneous breaths) falls below a target minimum Minute Volume (MV). It gives you the possibility to control your patient’s ventilation, whilst safeguarding on a minimum minute ventilation level. In addition, it can be considered a safe weaning strategy as it combines frequency adaptation and pressure adaptation in one mode and adapts to the individual patient needs. Furthermore, it adapts safely for leakage for trigger sensitivity and compensates for leakage in volume guarantee.

Webinar on mandatory minute ventilationPlay video

Mandatory Minute Ventilation with Prof. Jane Pillow

Our video on “Mandatory Minute Ventilation” will help you become more familiar with the theory, clinical application and operating principle of MMV.

  • Understanding how MMV works
  • Theoretical benefits and risks of MMV
  • Clinical application of MMV in neonates
  • PC-MMV and Volume Guarantee operating principle


Fact sheet: Mandatory Minute Ventilation in Premature Infants

Reduce morbidity of premature infants with innovative ventilation strategies

Over the past decade, significant advances in the understanding of pulmonary aeration, respiratory drive and non-invasive respiratory management of preterm infants have helped to further reduce morbidity in even extremely preterm and very low birth weight. 

Learn more


Find out more about reducing morbidity of premature infants with innovative ventilation strategies.

Learn more

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Dräger Babylog VN800/VN600

Dräger Babylog VN800/VN600

This is Neonatal Ventilation: Dräger Babylog

Get in touch with Dräger

Contact Us Hospital

Draeger Australia Pty. Ltd.

8 Acacia Place
Notting Hill
Victoria 3168

1800 372 437

Draeger New Zealand Ltd.

Unit 4
24 Bishop Dunn Place
East Tamaki
Auckland 2013

0800 372 437