What is Cuff leak test? How to do and interpret it on ventilator

What is Cuff leak test? How to do and interpret it on ventilator
how it predicts the possibility of post extubation stridor
#cuffleaktest
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​⁠‪@TheICUChannel‬

[@suearora9149]

Sir keep coming up with such videos. I am in Australia, ICU nurse loved all that knowledge. Thank you so much for your efforts ..

[@Ayushupdates17]

Very informative video... Thank you sir.... 😊😊

[@MHJ1983]

Another very very informative and practical video.

[@drbhalder1]

Sir please explain recruitment maneuvers in a ventilated patient

[@rahulposa]

thq sirr jii , ur always and always my online teacher!!!

[@anandtiwari52]

You are really great..... spreading knowledge.....

[@ravipandey9215]

Very nicely explained sir...thank you

[@dinkardubey588]

Very informative 👍 Thank you sir

[@TheICUChannel]

Most welcome

[@TheGagansis]

Good morning Sir.
May I request you to even tell us about the reference article or book to read more about any topic at the end of the video, to increase the knowledge further

[@TheICUChannel]

We will try

[@ahmadbahrami1085]

Very informative explanation 👍 thank you sir,

[@TheICUChannel]

Glad you liked it

[@dr.vijaysharma4811]

Sir very informative video

[@sharmilayeddanapudi7638]

Very useful, thank you

[@hinafatimah324]

Great video

[@drprashantsharma5147]

Sir pls make video on DI/cerebral salt wasting/ Siadh .. thnkuu

[@abdulwarisbinayyubbinimams8685]

Great sir

[@TheICUChannel]

thanks and welcome

[@sahanaveeraraghavan6460]

Thank you sir.🎉

[@TheICUChannel]

Most welcome

[@irfantk2722]

Thank you sir 🥰

[@TheICUChannel]

You're welcome 😊

[@mrajganesh]

Kindly do hypo or hypernatreamia topic also sir

[@allahhuakbar7362]

Best best ever

[@SaraAbdulrahmanMohammed]

Thank you so much sir.. if you don't mind to increase the voice

[@TheICUChannel]

Yes I also felt that

[@SaraAbdulrahmanMohammed]

@@TheICUChannel 👍
Would you please tell us about the skills and the procedures that we must master as ICU physicians regardless of our level

[@muhammadwali1609]

Tidal volume showing on vent is inspiratory Vt or exploratory Vt?

[@miloelite]

Put in simple terms:
•Positive CLT: no leak → continued intubation.
•Negative CLT: leak → proceed to extubation.
Do I have it right?

[@lg6830]

Yes u r right

[@mynameuknow3752]

Sir sometimes we still do not get a cuff leak after deflating the cuff . Should we put the patient on PS to assess cuff leak .

[@Yaridhu]

One Doubt about Post op Neurosurgical case in DKA ,When sugars less than 250 ,Can we start 5%D
Thanks in advance .

[@rayyankhan3475]

Very informative vd sir ..
But if the tidal drops and we hear the gurgling sound from patient as well does that mean cuff leak positive and we can safely extubate the patient...
And in case both things are absent we comment it as a cuff leak test negative and not feel safe for extubation and give steroids as U said in video.

[@rayyankhan3475]

Do Correct me sir if I m wrong..
Cz I have been practising the same leak positive on dropping tidal and negative in other case.

[@TheICUChannel]

see this test is helpful when u r sure about airway protection is fine. now u want to predict only the chances of stridor (also proper suction before doing the test is mandatory). This test will not predict the ability to protect airway. I hope this clarifies.

[@rayyankhan3475]

@@TheICUChannel yeah sure but just correct me sir ... As U said in the vd that if leak appears ( like tidal drops) U comment it as leak negative ?
Coz what we practice is total opposite we state it as cuff leak positive and can be extubated safely.

[@TheICUChannel]

@@rayyankhan3475 see we want to see the 'possibility' of stridor... if possibility positive, its a positive test.... means no leak is there.. so i think it's just the terminology u r using different else all is fine. www.ncbi.nlm.nih.gov/pmc/articles/PMC1065116/

[@rayyankhan3475]

@@TheICUChannel very much relative ...
We consider it positive leak ...
U r absolutely ryt it just terminology differnce ...

[@drshivsingh1394]

Plz take averages of such three test breaths and then compare with the original one. And, also considers reanges and not just one absolute value like 110 or 10 ℅

[@TheICUChannel]

Yes average should be taken but the average should be compared to 110 and 10% which are cut off to guide. thanks again for clarifying.

[@azmatabdullah4848]

It's 10 percent or 25 percent?

[@TheICUChannel]

10

[@marceloaranha1657]

what language is he actually speaking

[@UnanimedicineConsultancy-fn8jf]

Thanks for sharing

[@TheICUChannel]

Thanks for watching!

[@nickthenudger8506]

Hi Sir, my mom is suffering from GB syndrome and she is on a ventilator since 25 days. For last few days doctors are saying she is in cpap mode and fio2 is maintained at 21 and i guess peep is at 5 and one of the other readings is 10. Are they deliberately keeping the patient on ventilator or it will take more time. please advise we are very much confused and tensed.

[@TheICUChannel]

This is not a medical advisory channel. Trust your medical team, they know the best. but yes GB takes time to recover even weeks or months.