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It is not uncommon for patients to be sedated as a result of asynchrony and this has been shown to prolong ventilation time.1 Furthermore, prolonged ventilation time can result in rapid disuse atrophy of the diaphragm2 and ventilator-associated pneumonia.3 Mechanical breath terminology • Control variable—the mechanical breath goal, ie, a set pressure or a set volume • Trigger variable—that which starts inspiration, ie, the patient (generating changes in pressure or flow) or a set rate (time between breaths) • Limit variable—the maximum value during inspiration • Cycle variable—that which ends inspiration Mechanical breath terminology • Continuous mandatory ventilation—all breaths are controlled by the ventilator, so usually they have the same characteristics regardless of the trigger (patient or set rate)