What complication should you suspect if assisting with ventilations becomes increasingly difficult for an intubated patient?

When assisting with ventilations for an intubated patient becomes increasingly difficult, a likely cause is a deflated cuff. The cuff of the endotracheal tube is designed to create a seal in the trachea, which allows for effective ventilation by preventing air from escaping through the vocal cords and ensuring that the ventilation reaches the lungs. If the cuff becomes deflated, it can lead to inadequate ventilation, as air may bypass the lungs and escape through the upper airway instead.

In this scenario, the presence of a deflated cuff can result in a significant reduction in the volume of air that reaches the patient's lungs, leading to an increase in resistance during positive pressure ventilation and making it challenging to assist with the patient's breathing effectively. Recognizing this complication is vital for proper intervention, which often involves reinflating the cuff or replacing the endotracheal tube if necessary.

In summary, a deflated cuff is a common complication in intubated patients when difficulties arise with assisted ventilations, as it directly impacts the ability to provide adequate ventilation.