A 58-year-old man on ICU with ARDS has undergone a successful SBT. Before extubation, the cuff leak test shows a difference of only 40 mL. What does t...

Question

A 58-year-old man on ICU with ARDS has undergone a successful SBT. Before extubation, the cuff leak test shows a difference of only 40 mL. What does this suggest?

Accepted Answer

Failed cuff leak test suggesting upper airway oedema or stenosis with increased risk of post-extubation stridor; consider IV dexamethasone before extubation and ensure a reintubation plan is in place

Answer

Normal result

Answer

The ETT cuff is defective

Answer

The ventilator is malfunctioning

Answer

Cuff leak tests have no value

uk-fficm MCQ (SBA): Cuff Leak Test

A 58-year-old man on ICU with ARDS has undergone a successful SBT. Before extubation, the cuff leak test shows a difference of only 40 mL. What does this suggest?