cuff leak extubation
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Date: 2024-09-23
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stridor, its clinical sign, a reported incidence of 2–26% and frequently results in reintubation. Reintubation is associated an increase in duration .
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cuff leak test excellent specificity but sensitivity for airway obstruction. specificity suggests clinicians consider .
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A provider order to CLT is required in prior to test. See procedure details below (section on CLT).
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Ventilator weaning and extubating are two distinct processes Identifying patients for extubation based solely on clinical gestalt is inaccurate.
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An towards testing for cuff leak and is below, based on consensus guidelines. represents a between “cowboy” (ignoring cuff leak and extubating) vs. ability to.
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In particular, guideline suggests a cuff leak test (CLT) be on ventilated patients extubation criteria and are to a risk for PES, and steroids be to patients fail CLT (2).
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cuff leak test excellent specificity but sensitivity for airway obstruction. specificity suggests clinicians consider intervening in patients a positive test, but low sensitivity suggests patients still need to be closely .
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to previous on use of cuff leak test and steroids to prevent stridor and reintubation, panel concluded cuff leak test be reserved for patients (i.e., best practice is to assess patient individually for risk factors for failed extubation).
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Cuff underinflation, of ETT (partial extubation), orogastric or nasogastric tubes, wide discrepancy between ETT and .
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Extubation refers to of tube. It is final step in liberating a patient ventilation. Assessing safety of extubation, of extubation, and are described in topic.
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