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You use the cuff pressure gauge to check the pressure, and it is 20 cm H 2 0. You give it a few small pumps; and the pressure rises to 26 cm H 2 0, and the leak stops. Your senses tell you something is not right. You check the placement. The tube is at 21 cm at the lip line. Previous documentation notes 23 cm at the lip line at 1500.

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