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providers are often confronted of a “cuff leak” in ventilated patients in OR and ICU.
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T, WW, et al. Cuff-leak test for predicting airway a review. J Evid Based ; Raper RF. 'cuff-leak' test for extubation. ; Engoren Evaluation of cuff-leak test in a cardiac surgery population. ;
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An official College of clinical practice guideline: liberation ventilation in critically ill adults: protocols, ventilator liberation protocols, and cuff leak tests. J Respir Crit Care ;– (2).
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of cuff leak in ventilated patients: 1. Suction and oral secretions, and set ventilator into assist control before cuff leak test: 2. Inflate cuff and record displayed inspiratory and expiratory V t to evaluate for differences between two 3. Deflate.
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1 to cuff during tube insertion, especially during intubation on or in is often culprit. 2 Also, can occur as a result of inadvertent contact as needles, scalpels.
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Also consider a leak in ETT/ventilator interface as well as tubing connecting ventilator to ETT. Points. Consider.
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