THE CUFF-LEAK TEST FOR EXTUBATION

被引:65
作者
FISHER, MM
RAPER, RF
机构
[1] Intensive Therapy Unit, Royal North Shore Hospital, Sydney, New South Wales, 2065, St Leonards
[2] Intensive Therapy Unit, Royal North Shore Hospital, Sydney, New South Wales, 2065, St Leonards
关键词
AIRWAY; OBSTRUCTION; EQUIPMENT; TUBES; TRACHEAL; CUFFS;
D O I
10.1111/j.1365-2044.1992.tb01943.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The ‘cuff‐leak’ test, which involves demonstrating a leak around a tracheal tube with the cuff deflated, has been advocated to determine the safety of extubation in patients with upper airway obstruction. In 62 such patients we were able safely to extubate all patients with a cuff leak. Two patients extubated without cuff leak required reintubation and in five patients who repeatedly failed the test, tracheostomy was performed. Subsequently, we extubated 10 patients who were stable on spontaneous ventilation and did not have cuff leak; three later required tracheostomy and seven were uneventfully extubated. While the presence of cuff leak demonstrates that extubation is likely to be successful, a failed cuff‐leak test does not preclude uneventful extubation and if used as a criterion for extubation may lead to unnecessarily prolonged intubation or to unnecessary tracheostomy. Copyright © 1992, Wiley Blackwell. All rights reserved
引用
收藏
页码:10 / 12
页数:3
相关论文
共 4 条