Fix ideas
- Decrease inspiratory time or adjust cycling threshold depending on mode.
- Consider lowering VT if excessive duration/volume is driving mismatch.
- Reassess comfort, work of breathing, and waveform.
Vent control
Delayed cycling
Ventilator inspiration continues after patient neural inspiration ends; pressure can show a late bump/double peak.
Clinical review / use limits
Authored by: Airway of the Month education team. Last reviewed: July 2026. Audience: EM learners, faculty, EMS, RT, simulation educators, and airway teams.
This is an educational cognitive-aid scaffold, not a bedside order set. Verify medications, ventilator changes, pediatric dosing, and procedures against local ED, ICU, anesthesia, pharmacy, RT, EMS, and pediatric policies.
Resources · Editorial policy · ACEP intubation policy · ARDS ventilation reference