title: Cuff leak volume as a clinical predictor for identifying post-extubation stridor.
abstract: BACKGROUND
  Post-extubation stridor occurs after translaryngeal intubation results to re-intubation in a number of patients.
  
  
  OBJECTIVE
  To determine the cut-off value of the cuff leak volume test among Thai patients as a predictor for post-extubation stridor
  
  
  METHODS
  Demographic data and cuff leak volume were collected from patients who had been intubated with planned extubation. Clinical stridor was observed and identified after extubation.
  
  
  RESULTS
  Among 115 patients, the cuff leak volume of less than 114 ml was used to predict post-extubation stridor with the sensitivity of 89%, specificity of 90%, positive predictive value of 65%, and negative predictive value of 98%, respectively. Among the stridor group, 12 of 19 cases (63.2%) needed re-intubation.
  
  
  CONCLUSIONS
  The cuff leak volume of less than 114 ml can be used as a clinical predictor for identifying post-extubation stridor
authors: Division of Respiratory and Respiratory Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand. tikrittirak@gmail.com
authors: Warangkana
authors: W
authors: Keeratichananont
authors: Teeranan
authors: T
authors: Limthong
authors: Suriya
authors: S
authors: Keeratichananont
mesh_terms: D000368:Aged; D060666:Airway Extubation; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation*; D007819:Laryngeal Edema / Q000150:complications / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012135:Respiratory Sounds / Q000175:diagnosis* / Q000209:etiology*; D012680:Sensitivity and Specificity