At 36 hours of NAVA ventilation, the child was accidentally extubated during coughing. She immediately presented marked signs of respiratory distress (Silverman score: 7/10). We then used noninvasive ventilation with the NAVA option. Edi max values were initially very high (80 μV) and gradually decreased over 1 hour after the establishment of noninvasive ventilation. Thereafter, nasal continuous airway pressure was applied and the child left the intensive care unit 3 days later.