Waveforms-guided cycling-off during pressure support ventilation improves both inspiratory and expiratory patient-ventilator synchronisation

•Synchronisation requires time at the patient’s bedside.•Default settings are often inadequate.•Patients often require ventilator settings re-adjustments.•It is important to optimise cycling-off phase to improve synchronisation.•By acting on cycling one can facilitate the triggering phase as well.•Automated software can manage synchronisation during pressure support ventilation.