。Assessment: New diagnosis Pneumothorax,abdominal pathology,intracranial pathology,pain Fighting the ventilator' 。Actions: Exclude other pathology with physical examination Consider patient-triggered ventilation mode like synchronized IMV or Assist-control. Sedation only if no plan to extubate and above measures are ineffective. • Assessment: – New diagnosis • Pneumothorax, abdominal pathology, intracranial pathology, pain – ‘Fighting the ventilator’ • Actions: – Exclude other pathology with physical examination – Consider patient-triggered ventilation mode like synchronized IMV or Assist-control. – Sedation only if no plan to extubate and above measures are ineffective