The RT is called to assist with a 220-lb, 6-ft, 2-inch male patient who is intubated with a 7-mm ETT

The RT is called to assist with a 220-lb, 6-ft, 2-inch male
patient who is intubated with a 7-mm ETT and receiving positive pressure
ventilation. The patient’s nurse reports to the RT that over the last week it
has been increasingly difficult to get a good seal with the tube cuff and that
she has had to add “more and more air” to prevent gross leakage. When asked if
the cuff pressures have been monitored, she says no. What is the likely problem
and solution?

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