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cuff leak: worthless? bottom line, just be prepared.

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2 papers 0 to 25 followers
By Jason Mann No BS pulmonary critical care fellow
https://www.readbyqxmd.com/read/16424722/the-cuff-leak-test-is-a-simple-tool-to-verify-severe-laryngeal-edema-in-patients-undergoing-long-term-mechanical-ventilation
#1
Yu-Hsiu Chung, Tung-Ying Chao, Chien-Tung Chiu, Meng-Chih Lin
OBJECTIVE: The cuff-leak test has been proposed as a simple tool to clinically predict stridor or respiratory distress secondary to laryngeal edema following extubation. However, the true incidence of laryngeal edema in patients on long-term mechanical ventilation is uncertain. The relationship between upper airway obstruction (detected by video bronchoscopy) and the cuff-leak test value for patients with prolonged translaryngeal intubation during percutaneous dilatational tracheostomy (PDT) was investigated...
February 2006: Critical Care Medicine
https://www.readbyqxmd.com/read/22613461/intra-individual-variation-of-the-cuff-leak-test-as-a-predictor-of-post-extubation-stridor
#2
Antoine Gros, Laurent Holzapfel, Sophie Marqué, Laurent Perard, Guy Demingeon, Bonavie Piralla, Sandrine Gaillard, Xavier Tchenio
BACKGROUND: This was an evaluation of intra-individual variation of the cuff-leak test (ΔCLT) immediately post-intubation and pre-extubation, as a predictor of post-extubation stridor. METHODS: Prospective, clinical investigation in the ICU of a non-university hospital. CLTs were performed immediately after intubation (T0) and before extubation (T1) to evaluate the differences in cuff leak (ΔCLT = CL(T1) - CL(T0)). RESULTS: We included 104 mechanically ventilated subjects in the study over a 12-month period...
December 2012: Respiratory Care
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