You are transporting a 65-year-old male patient who has been intubated and placed on invasive mechanical ventilation due to acute respiratory distress. During the transport, the patient shows signs of agitation and an increase in peak inspiratory pressure. What is the most likely cause of increased peak inspiratory pressure in this situation?
Bronchospasm
A kinked or obstructed endotracheal tube
Patient-ventilator asynchrony
Decreased lung compliance