Improper tube fixation causing a leaky cuff

Inappropriate fixation of an endotracheal tube causing cuff malfunction resulting in difficult extubation.

We discuss a case of difficult extubation, due to inadequate deflation of the tracheal tube cuff, despite collapse of the pilot balloon, on its aspiration. This was caused by inadvertent kinking of the pilot balloon tubing due to inappropriate tape fixation of the endotracheal tube.

Repeated Tracheostomy Tube Cuff Rupture Due to Tracheobronchopathia Osteochondroplastica: A Case Report

Introduction: Tracheobronchopathia osteochondroplastica (TPO) is a rare benign disorder of the lower part of the trachea and the upper part of the main bronchi.   Case Report: A case of tracheobronchopathia osteochondroplastica (TPO) diagnosed at the time of intubation in an intensive care unit due to difficulty when advancing the endotracheal tube beyond the vocal cords, is reported. A problem...

Endotracheal tube lumen compromise from cuff overinflation.

A chest roentgenogram demonstrates lumen collapse as the cause of ventilatory obstruction in an intubated patient. This problem is not restricted to defective tubes but may be caused by overinflation of the cuff in normal tubes. D espite the impressive record of endotracheal tubes as guardians of an unobstructed airway, human and mechanical failure causing these devices to become dangerous site...

How to measure tracheostomy tube cuff pressure.

Tracheobronchomegaly: a rare cause of endotracheal tube cuff leak.

A 63-yr-old man (height, 173 cm) with a remote history of bronchiectasis and a double lung transplant was emergently intubated during a recent bout of bronchitis. An air leak was noted with positive-pressure ventilation through an 8.0-mm cuffed endotracheal tube until the cuff contained 12 ml air, with a cuff pressure of 22 cm H2O. This computed tomographic image shows the following: (A) the en...