Restrict the cuff leak test to high-risk patients
The absence of a cuff leak increases the likelihood of reintubation (positive likelihood 

ratio ~4) whereas the presence of a cuff leak reduces the likelihood of reintubation (negative likelihood ratio ~0.5)(Girard 2017).  This affects the post-test probability of reintubation as follows (1):
#Diagnosis #Criticalcare #CuffLeak #Extubation #Effects #Probability #Reintubation #Pretest #Posttest