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TIRBO #35: Vent double-triggering

Critical Care Scenarios

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How to Bifurcate a Ventilator Breath

When you look at those double triggers, try to bifurcate it. The vent will tell you if they give you a little light or a flag or a logo somewhere saying what triggered it. Now you can have a reverse triggering that is not strong enough to actually trigger a ventilator breath on that second breath. And as you look at a lot of waveforms, you'll see smaller deflections sometimes occurring at the first part of expiration. They're getting like a little bit of flow because they're breathing in a little and it's probably caused by a weaker stimulation or entrainment of their diaphragm. Again, it probably is some degree a disynchrony

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