Double Triggering Asynchrony in Mechanically Ventilated Patients.

Exclusion Criteria

• •Patients with contraindications to diaphragmatic ultrasound, including thoracic or abdominal surgery.
• •Patients with known diseases affecting diaphragmatic function, such as Duchenne muscular dystrophy (DMD) or myasthenia gravis (MG).
• •Patients with advanced chronic liver disease (Child-Pugh class C)
• •Patients with chronic increased intra-abdominal pressure.
• •Patients with moderate to massive pleural effusion.
• •Patient or legal guardian refusal to participate in the study.