What is one possible complication of cuff pressure checked irregularly in a tracheostomy patient?

In the context of tracheostomy care, one significant complication that can arise from irregular checking of cuff pressure is mucosal ulceration. The cuff in a tracheostomy tube is designed to create a seal in the airway to prevent aspiration and ensure adequate ventilation. However, if the cuff pressure is not monitored regularly, it can either become too high or too low.

When cuff pressure is too high, it can exert excessive pressure against the trachea's inner wall, leading to ischemia and subsequent tissue damage. Over time, this pressure can result in mucosal ulceration, which not only causes pain and discomfort for the patient but can also lead to serious complications such as tracheal stenosis or erosion.

Regular monitoring and maintenance of cuff pressure are critical to ensure the safety and comfort of the tracheostomy patient, thus preventing mucosal ulceration and ensuring the trachea remains healthy and unobstructed.