Double triggering pattern
Back-to-back inspiratory cycles with minimal exhalation.
Vent control
Double trigger / breath stacking
Two delivered breaths occur back-to-back with inadequate exhalation between them.
Fix ideas
- Assess patient demand and pain/awareness.
- Review inspiratory time, flow delivery, trigger, and cycling.
- Avoid letting stacked breaths produce excessive VT/pressure.
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