Cuff leak -tracheostomy complications

65 year old man with prolonged recovery from ARDS, requiring continued mechanical ventilatory support, who underwent percutaneous tracheostomy insertion 10 days ago. Learner is called to the bedside by the MICU nurse due to hypoxia and a low pressure alarm on the ventilator. Learner should examine the patient and ventilator and determine that there is a cuff leak. They should then try to inflate the cuff, which will be unsuccessful. They should then be able to safely remove and replace the tracheostomy in order to stabilize the patient.

Additional information

Learner

Nurse Practitioner, Paramedic, Physician, Physician Assistant, Respiratory Therapist

Contributor

NYU

Case Setting

ICU

Specialty

Anesthesiology, Emergency medicine, ENT, Internal medicine, Pulmonology

Room Size

12×12

Language

English

Status

Coming Soon