Autor: |
Thachil, Tomin J., Kuriakose, Binoy K., Nayak, Varun R., Khadke, Vrushali |
Předmět: |
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Zdroj: |
Indian Journal of Public Health Research & Development; Jul-Sep2021, Vol. 12 Issue 3, p518-522, 5p |
Abstrakt: |
Aim: This study aimed to evaluate whether the Cuff Leak Test (CLT) helps to predict post‑extubation stridor (PES) in intubated patients. Materials and Method: A prospective observational study was conducted in the adult ICUs of a tertiary care hospital. Patients who were intubated and ventilated for more than 3 days were enrolled in the study if inclusion and exclusion criteria were met.Standard cuff pressure was maintained throughout the course of intubation of the patients. CLT was conducted before the extubation and cuff leak volume was noted for all patients. A cuffleak volume of ≤140ml was considered a positive cuff leak test. Results: A total of 53 patients were enrolled in the study with a mean age of 62±16 years. The overall incidence of PES was found to be13.2%. A total of 19 (34.85%) patients had a positive CLT of which, 4 patients developed PES and of the 34 patients with negative cuff leak test, 3 patients developed PES. Overall, the cuff leak volume in PES group was comparatively lower than non-PES group. Age, gender, duration of intubation, chronic morbidities and even cuff leak volume were not statistically significant in predicting PES. Conclusion: Positive CLT or the absolute leak volume does not accurately predict the PES in intubated patients. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
Externí odkaz: |
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