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Find out when to perform the cuff leak test, how to interpret it, and how to manage stridor if it occurs. Cuff leak test evaluate the patient's breathing capacity with the cuff leak volume test by following these steps Learn about the causes, complications, assessment and management of endotracheal tube cuff leaks, a common problem in icu patients
Find out how to troubleshoot, replace or exchange the ett and avoid aspiration and desaturation. A respiratory therapy clinical team coordinator shares a protocol for assessing and troubleshooting an endotracheal tube cuff leak. Usually, the leak is calculated by measuring five or more tidal volumes after deflation of the cuff
Of course, the inspired tidal volume effectively reaching the alveoli will also decrease so that the tidal volume measured with the cuff deflated is influenced by both inspiratory and expiratory leaks.
The air leak may compromise ventilation and oxygenation plus expose the patient to the risks for aspiration of gastric contents and soilage from oronasal secretions Simply assuming that a cuff leak is related strictly to the cuff itself is a common mistake. Cuff defects top the list of structural causes of air leak from endotracheal tubes Being able to troubleshoot the problem without changing the ett decreases risk to the patient and saves valuable time.
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