Reverse triggering: the easily overlooked patient-ventilator asynchrony

doi:10.3877/cma.j.issn.2096-1537.2023.01.004

Abstract

Abstract:

Among many types of patient-ventilator asynchrony, reverse triggering derived from respiratory entrainment is a unique existence. It's challenging to identify reverse triggering in clinical scenario. What's more, if the ventilator is triggered successfully, it is also called breath stacking. In that case, the increased tidal volume or transpulmonary pressure will lead to ventilator-induced lung injury and influence function of the diaphragm. We have reviewed the epidemiology, pathophysiology mechanisms, phenotypes, clinical significance, and management strategies of reverse triggering, aiming to improve clinical physicians' awareness and facilitate fundamental and clinical research.

Key words: Patient-ventilator asynchrony, Reverse triggering, Breath stacking, Mechanical ventilation, Respiratory entrainment

Hongliang Li, Jianxin Zhou. Reverse triggering: the easily overlooked patient-ventilator asynchrony[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(01): 19-24.

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URL: https://icu.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-1537.2023.01.004

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