Ventilator Dyssynchrony - Double, Reverse, and Ineffective Triggering, Flow Starvation, AutoPEEP

Ventilator dyssynchrony is a common challenge in critical care and mechanical ventilation. In this episode, we break down the most important types of patient–ventilator asynchrony: double triggering, reverse triggering, ineffective triggering, flow starvation, and autoPEEP. Understanding these patterns is essential for ICU physicians, respiratory therapists, and critical care trainees to optimize patient outcomes and reduce ventilator-induced lung injury.

You’ll learn: What each type of dyssynchrony looks like on ventilator waveforms. Common causes and risk factors in the ICU setting. Practical bedside strategies to identify and troubleshoot each problem. Managing the different dyssynchrony patterns.

Timestamps:

0:00 - 11:28 - Flow Starvation

11:29 - 23:59 - Double Triggering

24:00 - 59:37 - AutoPEEP (Breath Stacking)

59:38 -1:17:48 - Double Triggering Vs Reverse Triggering

1:17:49 - 1:33:26 - Ineffective Triggering

Link to video: https://studio.youtube.com/video/28lmIBdA-9M/edit

📚 Related Resources:

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