A medical device for treating an associated patient includes an electronic processing device configured to receive ventilation waveform data during mechanical ventilation of the associated patient and to perform a patient-ventilator asynchrony monitoring method including detecting initial patient-ventilator asynchrony events during a training period of the mechanical ventilation by analysis of measurements of the associated patient acquired during the training period; training a machine learning (ML) component to analyze ventilation waveform data to detect patient-ventilator asynchrony events using the ventilation waveform data received during the training period with labels indicating the initial patient-ventilator asynchrony events; applying the patient-specific ML component to the ventilation waveform data received after the training period to detect patient-ventilator asynchrony events occurring after the training period; and a display device configured to display an indication of patient-ventilator asynchrony events detected by the applying of the patient-specific ML component.