Asynchronies are a frequent issue in ventilated patients. They represent a mismatch between the inspiratory and expiratory times of patient and ventilator, and thus a failure to provide ventilated patients with optimal assistance. This results in prolonged mechanical ventilation, difficult weaning, reduced patient comfort, an increased risk of diaphragmatic damage, and a potential increase in morbidity and mortality. It is beneficial for ventilated patients to be monitored and their interaction with the ventilator to be optimized, and waveform analysis has become essential to administer high-quality ventilation. Recognizing asynchronies requires good knowledge of the subject and specific training. It also takes time to perform a bedside analysis of waveforms, especially in those cases where patient-ventilator interaction is difficult. A possible solution is automation, and several interesting technologies capable of optimization have now been introduced to the market. Of these, IntelliSync+ has unique features because it is designed to reproduce the human way of thinking when approaching a ventilator waveform.

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