What is your perspective on the role of respiratory therapists in managing a patient who is dyssynchronous on their current mode of mechanical ventilation?

Yes, it’s in the scope of their practice to adjust vent settings for various reasons. At my practice, I work with them closely so I am aware of the changes being made. And this goes both ways. If I end up making changes, I make it a point to let the RTs know what changes I made.

I’m completely comfortable with RTs managing vents in all aspects of care, including stepping up and stepping down therapies. If meds are needed (paralysis, sedation), then docs/NP/PA need to be involved.