Question # 44

A tracheostomized patient on a ventilator exhibits persistent cuff leak with low delivered VT and rising CO₂. SpO₂ is stable. What’s the BEST next step?

Options:

A.

Inflate the cuff to very high pressure to stop the leak

B.

Verify tube size/position and exchange to an appropriately sized trach tube if undersized or malpositioned

C.

Ignore, since oxygenation is stable

D.

Switch to an uncuffed trach to minimize pressure injury

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