Discussion Forum


A challenging patient-ventilator asynchrony in a patient with asthma exacerbation

By: Marcelo Alcantara, Médico - 08/21/2017 20:28

A 21-year-old man was intubated because of acute respiratory failure due to asthma exacerbation.

The patient was deeply sedated (RASS score: -5).

The following asynchrony was present in the ventilator screen.

What type of asynchrony is it?

What are possible explanations for it?

What intervention would you suggest?


This image was kindly sent to xlung by Dr. Jorge Luis Valiatti. Professor of Medicine at the Catanduva Medical School, São Paulo state, Brazil, and reproduced with his permission.

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