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Use and interpretation of the test needs to take into account the overall context of the patient's condition and the management implications To date, the only test available to predict this complication is the cuff leak test (clt) Previous systematic reviews demonstrated excellent specificity of the cuff leak test but disagreed with respect to sensitivity
Estimate airway patency and guide safe extubation decisions in ventilated patients. Laryngeal oedema is a known complication of intubation that may cause airway obstruction in a patient on extubation The specificity of the cuff leak test was worse for patients intubated for more than 6 days.
It is a bedside assessment used to predict the risk of post extubation stridor in intubated patients
It can be done on most intubated patients, except those who are intubated due to obstruction of a supraglottic structure that is being splinted apart while the endotracheal tube is in A proper cuff leak test is done as follows: Introduction endotracheal intubation and invasive mechanical ventilation are lifesaving interventions that are commonly performed in the intensive care unit (icu)
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