
CASE DISCUSSION
Ventilator Patient Asynchrony
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Case Description
Ventilator patient asynchrony occurs when there is a mismatch between the patient’s respiratory efforts and the ventilator’s delivered breaths. Common types include trigger asynchrony, flow asynchrony, and cycle asynchrony. Causes may include improper ventilator settings, altered respiratory...
Case Summary
- Ventilator asynchrony refers to the lack of coordination between a patient's respiratory efforts and the ventilator's support, often due to mismatches in timing or support magnitude. This is a common issue, affecting around 24% of mechanically ventilated patients and is a frequent reason for doctors to simply paralyze or sedate the patient. Asynchrony can lead to diaphragmatic dysfunction, dyspnea, sleep disruption, agitation, delirium, and prolonged healing, and is tied to longer mechanical ventilation durations, higher mortality rates, and weaning failures.
Speaker Profile

Dr. Rishabh Kumar Mittal
Alumni- Fortis Escorts Heart InstituteDr. Rishabh Kumar Mittal is a senior Critical Care specialist with expertise in managing critically ill patients in intensive care settings.
He serves as Principal Consultant and Incharge of the Gastro-Liver and Liver Transplant ICU at Max Super Speciality Hospital.
His clinical focus includes advanced critical care management, multi-organ failure, and perioperative care of liver transplant patients.
He is experienced in handling complex ICU protocols and high-risk gastro-hepatic critical cases.
Through his work, he contributes to improving outcomes in transplant and critical care medicine with a multidisciplinary approach.
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