Cuff‐leak test for predicting postextubation airway complications: a systematic review

Zhou, Ting; Zhang, Hongping; Chen, Weiwei; Xiong, Zeyu; Fan, Tao; Fu, Juan; Wang, Lei; Wang, Gang

doi:10.1111/j.1756-5391.2011.01160.x

Cited by 45 publications

(42 citation statements)

References 43 publications

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“…Perform thorough suctioning of the mouth and larynx before deflating the tube cuff for the test, in order to prevent unwanted material from entering the lower airways iatrogenically ( Table 5 ). ( 104 )…”

Section: Discontinuation Of Mechanical Ventilationmentioning

confidence: 99%

Brazilian recommendations of mechanical ventilation 2013. Part 2

Barbas¹,

Isola²,

Farias³

et al. 2014

Revista Brasileira De Terapia Intensiva

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Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members. The document was based on the available evidence regarding 29 subtopics selected as the most relevant for the subject of interest. The project was developed in several stages, during which the selected topics were distributed among experts recommended by both societies with recent publications on the subject of interest and/or significant teaching and research activity in the field of mechanical ventilation in Brazil. The experts were divided into pairs that were charged with performing a thorough review of the international literature on each topic. All the experts met at the Forum on Mechanical Ventilation, which was held at the headquarters of AMIB in São Paulo on August 3 and 4, 2013, to collaboratively draft the final text corresponding to each sub-topic, which was presented to, appraised, discussed and approved in a plenary session that included all 58 participants and aimed to create the final document.

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Section: Discontinuation Of Mechanical Ventilationmentioning

confidence: 99%

Brazilian recommendations of mechanical ventilation 2013. Part 2

Barbas¹,

Isola²,

Farias³

et al. 2014

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

show abstract

“…5 Patients who are intubated for more than 36 hours have a 6% to 37% incidence of postextubation stridor. 6 Additional risk factors for postextubation stridor include traumatic intubation, a large endotracheal tube, female sex, and reintubation after unplanned extubation. 5 Simultaneous assessment of both cough and cuff leak has been shown to improve prediction of postextubation stridor.…”

Section: Discussionmentioning

confidence: 99%

Premature Extubation

2020

AORN Journal

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“…A leak test is not routinely performed by the authors because it has been found to have an insufficient predictive [48][49][50][51] value for airway patency after extubation. If the airway appears to be free of obstructions, the patient may be extubated without preventive measures.…”

Section: Extubationmentioning

confidence: 99%

Airway Management in Facial Trauma Patients

Jacomet

Tasman

2015

Facial plast Surg

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Airway management in craniofacial trauma patients is a challenge for an anesthetist. Treating these patients requires a close interdisciplinary communication and cooperation. Maintaining the airway and oxygenation of the patient is the initial challenge in craniofacial trauma patients. The management of the difficult airway is facilitated and patient's safety improved by following one of several published difficult airway algorithms. We describe the St. Gallen difficult airway algorithm for the management of difficult airway in general and the airway in facial trauma patients in particular. Whenever possible, the airway should be secured in a conscious and spontaneously breathing patient. It is important to be familiar with different techniques and to change the approach after two unsuccessful attempts with one technique. Once the airway is established, all available preventive measures should be used to avoid losing the airway. A tracheotomy has its place in a significant number of patients in whom an immediate postoperative or a delayed extubation appears unfeasible.

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Cuff‐leak test for predicting postextubation airway complications: a systematic review

Abstract: Our results suggest the cuff-leak test accurately predicts which adult patients are at high risk of postextubation airway complications, but randomized controlled trials are needed to further assess this diagnostic strategy.

Cited by 45 publications

References 43 publications

Brazilian recommendations of mechanical ventilation 2013. Part 2

Brazilian recommendations of mechanical ventilation 2013. Part 2

Premature Extubation

Airway Management in Facial Trauma Patients

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