Ineffective efforts and reverse triggering share some waveform similarities, so what makes them different?
With the help of advanced monitoring, these findings are referred to as respiratory entrainment, or reverse triggering. A machine delivered breath (not triggered by the patient) elicits a response (effort) by the patient, and this occurs during, or very shortly after, insufflation by the ventilator.
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The use of low tidal volume (4-8 ml/kg of predicted body weight) has been considered the default way to ventilate…
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