What change would you do on the ventilator to improve the asynchrony indicated by the green arrows?
Decrease Inspiratory time
Increase inspiratory time
Increase trigger threshold
Decrease trigger threshold
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Respiratory Failure & Mechanical Ventilation
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This patient has delayed cycling asynchrony indicated by the hump at the end of inspiration (expiratory efforts by the patient during inspiratory time of the ventilator breaths). Therefore, the answer is decreasing inspiratory time on the ventilator to allow synchrony with the patient's expiratory efforts.