How do you check endotracheal tube cuff leak in ventilated patient?

How do you check endotracheal tube cuff leak in ventilated patient?

How do you check endotracheal tube cuff leak in ventilated patient?

How do you check endotracheal tube cuff leak in ventilated patient?

Endotracheal tubes are placed down the trachea and then attached to a ventilator in the critically ill patient or someone undergoing general anesthesia. If you think that the ETT cuff may have a leak a couple of troubleshooting tips may come in handy. First, why do you think the cuff has a leak? Is the patient in distress? Dyspnea is a first sign. Start by feeling the bulb to see if it feels inflated(should feel firm). If it doesn’t feel firm then inject 1cc of air(check the policy and procedure of the institution,some only allow RT to do this).If it does feel firm, auscultate breathe sounds. Is there a change from your previous assessment? Also, most vents today have alarms that might clue you in. If VT is low, that may indicate a leak because they are not adequately being ventilated.
How do you check endotracheal tube cuff leak in ventilated patient?
How do you check endotracheal tube cuff leak in ventilated patient?
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How do you check endotracheal tube cuff leak in ventilated patient?
Read More