Cuff Pressure Assessment (TMC Practice Question)

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2 years ago
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The video breaks down a sample TMC practice question about making adjustments to a patient's cuff pressure. Do you know the normal range?
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➡️ Question
A 50-year-old male patient is intubated with a size 8 endotracheal tube and is receiving volume-controlled A/C ventilation. Upon assessment, you note that the patient’s cuff pressure is measured at 38 cmH2O. Which of the following would you recommend?
A. Withdraw the tube 1–2 cm and reassess the patient’s breath sounds
B. Recommend reintubation with a smaller endotracheal tube
C. Lower the cuff pressure to less than 30 cmH2O
D. Recommend ventilation via a tracheostomy

To get this one correct, you needed to know the normal values for cuff pressure. And in this case, you needed to recognize that 38 cmH2O is way too high and could potentially be dangerous for the patient. Therefore, your first action should be to lower the cuff pressure to less than 30 cmH2O and then check to ensure there are no leaks. For the TMC Exam, you must remember that the normal range for cuff pressure is between 20–30 cmH2O. In this case, there is no indication to withdraw the tube, and using a smaller tube would only cause the patient’s peak pressure to increase, which is something that we do not want. Furthermore, there is nothing in the question that suggests a tracheostomy is indicated, so we can rule that one out as well.

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This content is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please consult with a physician with any questions that you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you watch in this video. We strive for 100% accuracy, but errors may occur, and medications, protocols, and treatment methods may change over time.

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⏰TIMESTAMPS
0:00 - Intro
0:27 - Practice Question
1:05 - Explanation
1:57 - Correct Answer

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