Method
A repeated measure crossover design was used to saudy 32 orally intubated patients receiving mechanical ventilation for two 12-hour shifts (randomized control and intervention condition) Continuous cuff pressure monitoring was initiated, and the pressure was adjusted to a minimum of 22 cm , Caregivers were blinded to cuff pressure data, and usual care was provided during the control condition. During the intervention condition, cuff pressure alarm or clinical triggers guided the intervention