Asynchrony patient-ventilator: Practical clinical approach

Asynchronies, characterized by the lack of synchronization between the moments when the patient performs neural inspirations and those programmed in the ventilator, are common in patients requiring ventilatory support. Although esophageal monitoring is considered the most accurate method for detection, diagnosis, and intervention, it proves impractical in the clinical evaluation context. Monitoring through various curves and loops, however, facilitates the identification of asynchronies and allows for the assessment of the response to established interventions. This review focuses on differentiating stimuli to the respiratory center and mechanical responses, thereby easing the diagnosis and interventions necessary for their control.