Should a ventilator does not synchronise perfectly with a patient's own respiratory efforts?

What is it about?

The way that a breathing machine and a patient interact are important in achieving successful non invasive ventilation. Whether subtle asynchronies that are not obvious to an experienced operator and can only be detected using other, often invasive measures, have an impact and matter remains to be seen. This editorial reviews the existing evidence

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Why is it important?

Non invasive ventilation is increasingly commonly used in acute and chronic respiratory failure. Discomfort due to poor patient ventilator synchrony is more likely to compromise patient tolerance and the effectiveness of NIV