We are seeing more providers wanting to titrate paralytic agents to "ventilator synchrony", although our current titration goal parameter is TOF.
If your policy/practice allows it, could you share how you objectively define ventilator synchrony at your institution?
Where does that definition live, in policy, or is part of every medication order (e.g. default order comments)? If you are willing to share your policy or screen shots, that would be very helpful!