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To date, only test available to predict is cuff leak test (CLT); its diagnostic accuracy and utility uncertain.
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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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Conservative If is no cuff leak, start steroids and leave patient on ventilation. next day, evaluate for a cuff leak.
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