"We are able to communicate with our patients at almost any time", says Dr Andersen.
The key to having less sedated and actively participating patients is to be able to meet their breathing needs. To try and sustain their natural breathing effort as much as possible.
This is when monitoring the electrical activity of the diaphragm (Edi), has become especially useful for Dr. Andersen. It has helped him identify patient-ventilator asynchrony and reduce over-sedation and over-assist.
Personalizing ventilation in the ICU
It can be challenging to identify how much ventilatory support the patient really needs. With Edi, the electrical activity of the diaphragm, you can identify and reduce over-sedation, over-assist, and asynchrony. This can help you start the weaning process earlier.   
1. Kallio M, et al. Neurally adjusted ventilatory assist (NAVA) in pediatric intensive care – a randomized controlled trial. Pediatr Pulmonol. 2015 Jan;50(1):55-62.
2. Bellani G, Pesenti A. Assessing effort and work of breathing. Curr Opin Crit Care. 2014 Jun;20(3):352-8.
3. Ducharme-Crevier L, et al. Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Crit Care Res Pract. 2013;2013:384210