Anesthesiology and Pain Medicine

Published by: Kowsar

Endotracheal Tube Cuff Pressure Assessment: Education May Improve but not Guarantee the Safety of Palpation Technique

Seyed Alireza Seyed Siamdoust 1 , Masood Mohseni 2 , * and Arash Memarian 2
Authors Information
1 Department of Anesthesiology, Hazrat Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran
2 Department of Anesthesiology, Rasoul Akram Medical Center, Iran University of Medical Sciences, Tehran, Iran
Article information
  • Anesthesiology and Pain Medicine: June 01, 2015, 5 (3); e16163
  • Published Online: June 22, 2015
  • Article Type: Research Article
  • Received: July 18, 2014
  • Revised: October 27, 2014
  • Accepted: December 15, 2014
  • DOI: 10.5812/aapm.5(3)2015.16163

To Cite: Seyed Siamdoust S A, Mohseni M, Memarian A. Endotracheal Tube Cuff Pressure Assessment: Education May Improve but not Guarantee the Safety of Palpation Technique, Anesth Pain Med. 2015 ; 5(3):e16163. doi: 10.5812/aapm.5(3)2015.16163.

Copyright © 2015, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Henderson J. Miller's Anesthesia. 2010; : 1573-610
  • 2. Knowlson GT, Bassett HF. The pressures exerted on the trachea by endotracheal inflatable cuffs. Br J Anaesth. 1970; 42(10): 834-7[PubMed]
  • 3. Lu YH, Hsieh MW, Tong YH. Unilateral vocal cord paralysis following endotracheal intubation--a case report. Acta Anaesthesiol Sin. 1999; 37(4): 221-4[PubMed]
  • 4. Fan CM, Ko PC, Tsai KC, Chiang WC, Chang YC, Chen WJ, et al. Tracheal rupture complicating emergent endotracheal intubation. Am J Emerg Med. 2004; 22(4): 289-93[PubMed]
  • 5. Wain JJ. Postintubation tracheal stenosis. Semin Thorac Cardiovasc Surg. 2009; 21(3): 284-9[DOI][PubMed]
  • 6. Abbasidezfouli A, Shadmehr MB, Arab M, Javaherzadeh M, Pejhan S, Daneshvar A, et al. Postintubation multisegmental tracheal stenosis: treatment and results. Ann Thorac Surg. 2007; 84(1): 211-4[DOI][PubMed]
  • 7. Kaur D, Anand S, Sharma P, Kumar A. Early presentation of postintubation tracheoesophageal fistula: Perioperative anesthetic management. J Anaesthesiol Clin Pharmacol. 2012; 28(1): 114-6[DOI][PubMed]
  • 8. Stewart SL, Secrest JA, Norwood BR, Zachary R. A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. AANA J. 2003; 71(6): 443-7[PubMed]
  • 9. Fernandez R, Blanch L, Mancebo J, Bonsoms N, Artigas A. Endotracheal tube cuff pressure assessment: pitfalls of finger estimation and need for objective measurement. Crit Care Med. 1990; 18(12): 1423-6[PubMed]
  • 10. Trivedi L, Jha P, Bajiya NR, Tripathi D. We should care more about intracuff pressure: The actual situation in government sector teaching hospital. Indian J Anaesth. 2010; 54(4): 314-7[DOI][PubMed]
  • 11. Hoffman RJ, Parwani V, Hahn IH. Experienced emergency medicine physicians cannot safely inflate or estimate endotracheal tube cuff pressure using standard techniques. Am J Emerg Med. 2006; 24(2): 139-43[DOI][PubMed]
  • 12. Svenson JE, Lindsay MB, O'Connor JE. Endotracheal intracuff pressures in the ED and prehospital setting: is there a problem? Am J Emerg Med. 2007; 25(1): 53-6[DOI][PubMed]
  • 13. Galinski M, Treoux V, Garrigue B, Lapostolle F, Borron SW, Adnet F. Intracuff pressures of endotracheal tubes in the management of airway emergencies: the need for pressure monitoring. Ann Emerg Med. 2006; 47(6): 545-7[DOI][PubMed]
  • 14. Ozer AB, Demirel I, Gunduz G, Erhan OL. Effects of user experience and method in the inflation of endotracheal tube pilot balloon on cuff pressure. Niger J Clin Pract. 2013; 16(2): 253-7[DOI][PubMed]
  • 15. Wujtewicz MA, Sawicka W, Owczuk R, Dylczyk-Sommer A, Wujtewicz M. Tracheal tube cuff pressure depends on the anaesthesiologist's experience. A follow-up study. Anestezjol Intens Ter. 2009; 41(4): 205-8[PubMed]
  • 16. Parwani V, Hoffman RJ, Russell A, Bharel C, Preblick C, Hahn IH. Practicing paramedics cannot generate or estimate safe endotracheal tube cuff pressure using standard techniques. Prehosp Emerg Care. 2007; 11(3): 307-11[DOI][PubMed]
  • 17. Li Bassi G, Ranzani OT, Marti JD, Giunta V, Luque N, Isetta V, et al. An in vitro study to assess determinant features associated with fluid sealing in the design of endotracheal tube cuffs and exerted tracheal pressures. Crit Care Med. 2013; 41(2): 518-26[DOI][PubMed]
  • 18. Bernhard WN, Yost L, Joynes D, Cothalis S, Turndorf H. Intracuff pressures in endotracheal and tracheostomy tubes. Related cuff physical characteristics. Chest. 1985; 87(6): 720-5[PubMed]
  • 19. Inoue S, Takauchi Y, Kuro M, Ninaga H. [Effects of changes in head and neck position on a tracheal tube cuff]. Masui. 1998; 47(9): 1069-72[PubMed]
  • 20. Godoy AC, Vieira RJ, Capitani EM. Endotracheal tube cuff pressure alteration after changes in position in patients under mechanical ventilation. J Bras Pneumol. 2008; 34(5): 294-7[PubMed]
  • 21. Madjdpour C, Mauch J, Dave MH, Spielmann N, Weiss M. Comparison of air-sealing characteristics of tapered- vs. cylindrical-shaped high-volume, low-pressure tube cuffs. Acta Anaesthesiol Scand. 2012; 56(2): 230-5[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments