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Servo-n Neonatal Ventilator

Help your neonates breathe, sleep and grow at every step of respiratory support with just one device.

The most fragile of lives deserve advanced personalized ventilation

Whether it’s invasive or non-invasive ventilation, Servo-n has all the ventilation modes you need to deliver high-end neonatal or pediatric care, including a unique therapy (NAVA) for personalized respiratory treatments.

Lung protection, diaphragm protection, brain protection, ventilator synchrony, neonate, neonatal ventilation

Protect the lungs, brain and diaphragm with every tiny breath

Do you ever get neonates that are not quite in sync with their ventilatory support. Babies that are sleeping erratically and wasting valuable energy? For these fragile ones, tailoring just the right level of synchronized ventilatory support – without over- or under-assist – is a delicate balance.[1] Using Edi monitoring, Servo-n makes it easier to assess this balance[2],[3], allowing you to act on almost any situation – from delivery to discharge.

 

One advanced neonatal ventilator
Many flexible treatment options.

Do you find it time-consuming to switch between different ventilators and support machines in the NICU? Getinge Servo-n offers ONE versatile solution for respirator support, monitoring and treatment of neonatal and pediatric patients – for every stage of ventilation.

Related products

Edi, Electrical activity of the diaphragm, vital sign, respiratory drive, Servo-n, neonatal ventilator, intuitive touch screen, patient-ventilator asynchrony

1. Assess respiratory needs with the Edi vital sign

Want to monitor your baby’s respiratory drive – from day zero? Literally see what it needs, in any mode, right in your lower screen? On Servo-n, this is possible with our unique Edi diaphragmatic monitoring.[2],[3],[4] It gives you valuable insights about patient-ventilator asynchrony, the presence or absence of spontaneous breaths, apnea, patient effort, over- and under-assist, sedation, and patient positioning.

 

Servo-n Neonatal Ventilator helps you prevent intubation

2. Prevent intubation with unique NIV-NAVA therapy

If Nasal CPAP is not enough to support babies on non-invasive ventilation, NIV NAVA® offers a viable alternative. Studies show that it may increase the chance of NIV success[5],[6],[7],[8], and reduce the need for intubation[9] and sedation.[10],[11],[12] NIV NAVA is leakage independent[13], it improves short-term physiological effects and comfort[14],[15], and it lowers work of breathing.[6]

Neonate, NAVA, neurally adjusted ventilatory assist, personalized ventilation, PRVC, improved compliance, lung protection

3. Protect and stabilize with personalized NAVA mode

With our unique Neurally Adjusted Ventilatory Assist (NAVA) mode, you can personalize the neonatal support with every breath. When babies are on this mode, they tend to choose lower pressure[16] and tidal volumes [17] and comfort[10],[16], improving their blood gases and oxygenation.[11] And if the babies need precis volume-targeted ventilation, PRVC (Pressure Regulated Volume Control) is there for you.

 

Neonate, HFOV, high frequency oscillation, work of breathing, high flow capacity, apnea, neonatal

4. Rescue with HFOV that offers a difference

When the primary modes are not able to ventilate the patient adequately and you need to rescue the patient, it’s good to know you’ve got built-in HFOV. It can be reached with just a switch from a conventional mode. This way, you can quickly start the therapy without losing mean airway pressure by having to hook up a separate bulky unit. To achieve active exhalation and reduced work of breathing, it relies on the rapidly responding and synchronized inspiratory and expiratory valves.

 

Servo-n Neonatal Ventilator supports you during weaning

5. Wean from ventilation – gently and individually

Edi makes it possible to follow the patient’s progress from invasive to non-invasive ventilation (NIV) and beyond on the same machine.[4],[5],[6] NAVA and NIV NAVA are especially useful during weaning. It can help you maintain diaphragm activity[15], avoid over- or under-assist[18] and reduce sedation.[11] This may limit diaphragm atrophy and facilitate earlier extubation.[18],[19],[20],[21]

 

Servo-n Neonatal Ventilator comes with a pediatric option (PICU)

Extend your treatment to pediatrics and other ventilators

While the Servo-n is mainly intended for advanced care of the most fragile neonates, it comes with a pediatric option to extend its capabilities to the PICU. Or, if your primary ventilatory need is for ICU patients, the Servo-u ventilator can be extended with a neonatal option.

 

Additional therapies

Servo-n laminar flow

Heliox therapy for infants

Newborns weighing 3 kg or more who are experiencing airway obstruction (e.g. due to bronchiolitis or asthma) can now be treated with Heliox therapy*. Heliox is a mix of helium and oxygen that, due to its low density, facilitates laminar flow and minimizes airway pressure. Safe and easy to use, it can help these tiny ones reduce the work of breathing (WoB) and soothe obstructed airways.[18]

Heliox gas therapy, laminar gas flow, bronchiolitis, asthmas, helium and oxygen, WoB

Safe, reliable and easy to use

The Servo-n has an integrated Aerogen nebulizer that can be used with Heliox therapy. Together, they can help improve aerosol deposition, resulting in up to 50% more drug delivered. This is primarily due to helium’s lower density than air or oxygen, meaning less gas turbulence and less aerosol-particle-impaction loss in the tubing and patient airways.[19],[20],[21],[22]

aerosol nebulizer

Nebulization and Heliox

The Servo-n has an integrated Aerogen nebulizer that can be used with Heliox therapy. Together, they can help improve aerosol deposition, resulting in up to 50% more drug delivered. This is primarily due to helium’s lower density than air or oxygen, meaning less gas turbulence and aerosol-particle impaction loss in the tubing and patient airways.[19],[20],[21],[22]

Clinical experience in the NICU

Hear from neonatal experts who are using NAVA and other therapies to avoid patient-ventilator asynchrony and achieve safe, gentle ventilatory support, with better outcomes.

 

Trends, news and insights from our ESPNIC panel

Did you miss ESPNIC 2021? Don’t worry, we recorded our panel discussion with neonatal experts. Learn about their protective lung, brain and diaphragm strategies, how they avoid BPD, deal with COVID and use NAVA and High Frequency Oscillatory Ventilation (HFOV).

 

Top London neonatal expert shares his NICU’s best practices

As Consulting Neonatologist at St George’s University Hospital in London, Dr. Sandeep Shetty (MBBS, DCH, DNB, FRCPCH, MDre) is always looking for better ways to advance respiratory care for babies. In this video, he shares some of his team’s latest approaches to both invasive and non-invasive ventilation, including using NIV-NAVA and NAVA.

 

Dr. Howard Stein on latest approaches to NICU care

What are the latest practices in NICU care at the Toldeo Hospital? Listen to this in-depth interview with Dr. Howard Stein (MD, FAAP), Medical Director of the NICU at Ebeid Children’s Hospital and Professor of The University of Toledo College of Medicine and Life Sciences in Toledo, Ohio, USA.

 

What a US neonatal outreach liaison is advising to NICUs

As an independent neonatal respiratory advisor and liaison to Akron Children’s Hospital in Ohio, USA, Kimberly S. Firestone (MSc, RRT) always gives her informed, honest advice on the optimal respiratory practices to support prematurely born babies. It’s her passion and the focus of years of research. In this short video, she shares some of her insights.

The Toledo Hospital journey towards better outcomes

Dr. Howard Stein says there are a number of alterations to thank for his patients’ improvements – PICC line reduction and non-invasive ventilation strategies, such as CPAP and NIV NAVA, to name a few.[23]

Graph of hospital statistics

Reduced death and morbidity in neonates by 40%

graph hospital statistics

Survival without morbidity increased by 40%

graph hospital statistics

Decrease in chronic lung disease by 70%

Graph statistics hospital

Median length of stay reduced by 9 days

Nurse with Servo brochure

Ensure maximum uptime

Optimizing your equipment's services is often an untapped opportunity to maximize productivity and reduce costs. Our Getinge Care service offering will ensure that your equipment always perform at peak levels allowing you to focus on what’s important - saving lives.

Servo Duo Guard filter, Edi catheter ENFit 6 Fr50 cm, Getinge ventilator consumables, mechanical ventilation,  Patient data at your fingertips

High quality consumables

We offer an extensive range of readily available consumables designed for highest possible patient safety and ease of use – all to help secure your everyday operations.

MSync

Patient data at your fingertips

MSync helps you to connect your Servo-n fleet to your patient monitor, HIS or patient data management system (PDMS). Clinical and patient data is transferred in real time to support clinical decision-making.

  • Protect your Getinge device and optimize the clinical workflow with Getinge high quality consumables.

  • Help patients suffering from obstructive lung diseases, such as asthma, bronchiolitis, and COPD, breathe easier where additional targeted support may be required.

  • Servo-n offers an advanced all-in-one solution for personalized lung protection and weaning, helping neonates breathe, sleep and grow.

  • Discover how NAVA can achieve recommended PIP and Vt in neonates and also provide optimal synchronization between neonate and ventilator

Improve your knowledge with our eLearning and training courses

At Getinge Educational Institute, we have dedicated material for topics related to Intensive Care, Cardiovascular Procedures, Operating Room and Sterile Processing. We can support you with information about current technologies and best practices to boost your performance and productivity.

For more information about our onsite events or remote trainings, you can also contact your local sales & service representative.

  1. 1. 1. Vignaux L, Grazioli S, Piquilloud L, Bochaton N, Karam O, Jaecklin T, Levy-jamet Y, Tourneux P, Jolliet P, Rimensberger P. Optimizing patient ventilator synchrony during invasive ventilator assist in children and infants remains a difficult task. PCCM In Press, June Ped Crit Care Med. 2013;14(7), 316-325.

  2. 2. Beck J, Emeriaud G, Liu Y, Sinderby C. Neurally-adjusted ventilatory assist (NAVA) in children: a systematic review. Minerva Anestesiol 2016;82(8):874-83.

  3. 3. Beck J, Sinderby C. Neurally adjusted ventilatory assist in newborns. Clin Perinatol 2021, 48(4):783-811

  4. 4. Stein H, Firestone K. Application of neurally adjusted ventilatory assist in neonates. Semin Fetal Neonatal. Semin Fetal Neonatal Med. 2014 Feb;19(1):60-9.

  5. 5. Makker K, Cortez J, Jha K, et al. Comparison of extubation success using noninvasive positive pressure ventilation (NIPPV) versus noninvasive neurally adjusted ventilatory assist (NI-NAVA). J Perinatol 2020;40(8):1202–10.

  6. 6. Houtekie L, Moerman D, Bourleau A, Reychler G, Detaille T, Derycke E, Clément de Cléty S. Feasibility Study on Neurally Adjusted Ventilatory Assist in Noninvasive Ventilation After Cardiac Surgery in Infants. Respir Care. 2015 Jul;60(7):1007-14.

  7. 7. Yagui ACZ, Goncalves PA, Murakami SH, et al. Is noninvasive neurally adjusted ventilatory assistance (NIV-NAVA) an alternative to NCPAP in preventing extubation failure in preterm infants? J Matern Fetal Neonatal Med 2019;1–151.

  8. 8. Shetty S, Evans, K, Cornuaud P, et al. Neurally Adjusted Ventilatory Assist in very prematurely born infants with evolving/established bronchopulmonary dysplasia. AJP Rep 2021;11(4):e127-e131.

  9. 9. Chidini G, De Luca D, Calderini E, et al. Implementation of noninvasive neurally adjusted ventilatory assist in pediatric acute respiratory failure: a controlled before-after quality improvement study. J Anesth Analg & Crit Care 2021(Sep);1;1-9

  10. 10. de la Oliva P, Schuffelmann C, Gomez-Zamora A, Vilar J, Kacmarek RM. Asynchrony, neural drive, ventilatory variability and COMFORT: NAVA vs pressure support in pediatric patients. A randomized cross-over trial. Int Care med. Epub ahead of print April 6 2012.

  11. 11. Kallio M, Peltoniemi O, Anttila E, Pokka T, Kontiokari T. Neurally Adjusted Ventilatory Assist (NAVA) in Pediatric Intensive Care – A Randomized Controlled Trial. Pediatr Pulmonol. 2015 Jan;50(1):55-62.

  12. 12. Longhini F, Scarlino S, Gallina MR, et al. Comparison of neurally-adjusted ventilator assist in infants before and after extubation. Minerva Pediatr. 2018 Apr;70(2):133-140

  13. 13. Beck J, Reilly M, Grasselli G, et al. Patient-ventilator interaction during neutrally adjusted ventilatory assist in low birth weight infants. Pediatr Res 2009;65(6):663–8.

  14. 14. Gibu CK, Cheng PY, Ward RJ, Castro B, Heldt GP. Feasibility and physiological effects of noninvasive neurally adjusted ventilatory assist in preterm infants. Pediatr Res. 2017 Oct;82(4):650-657.

  15. 15. Lee J, Kim HS, Jung YH, Shin SH, Choi CW, Kim EK, Kim BI, Choi JH. Non-invasive neurally adjusted ventilatory assist in preterm infants: a randomised phase II crossover trial. Arch Dis Child Fetal Neonatal Ed. 2015 Nov;100(6):507-13.

  16. 16. Piastra M, De Luca D, Costa R, Pizza A, De Sanctis R, Marzano L, Biasucci D, Visconti F, Conti G. Neurally adjusted ventilatory assist vs pressure support ventilation in infants recovering from severe acute respiratory distress syndrome: Nested study. J Crit Care. 2013 Oct 24.

  17. 17. Stein H, Howard D. Neurally Adjusted Ventilatory Assist (NAVA) in Neonates less than 1500 grams: a retrospective analysis. J Pediatr 2012;160:786e9.

  18. 18. Ducharme-Crevier L, Du Pont-Thibodeau G, Emeriaud G. Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Crit Care Res Pract. 2013; 2013: 384210.

  19. 19. Emeriaud G, Larouche A, Ducharme-Crevier L, Massicotte E, Fléchelles O, Pellerin-Leblanc AA, Morneau S, Beck J, Jouvet P. Evolution of inspiratory diaphragm activity in children over the course of the PICU stay. Intensive Care Med. 2014 Nov;40(11):1718-26.

  20. 20. Brochard L, Harf A Lorino H, Lemaire F. Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. American Review of Respiratory Disease, vol. 139, no. 2, pp. 513–521, 1989.

  21. 21. Futier E, Constantin JM, Combaret L et al., “Pressure support ventilation attenuates ventilator-induced protein modifications in the diaphragm,” Critical Care, vol. 12,no. 5, articleR116, 2008.

  22. 22. Alcoforado L, Brandão S, Rattes C et al; Evaluation of lung function and deposition of aerosolized bronchodilators carried by heliox associated with positive expiratory pressure in stable asthmatics: a randomized clinical trial; Respir Med. 2013

  23. 23. Stein H. (APA, 2014). Neonatal outcomes. Retrieved from www.criticalcarenews.com.