Intraoperative endotracheal tube cuff leak during cerebral aneurysm surgery – A hard row to hoe

Intraoperative Endotracheal Tube Cuff Deflation - Stitch in Time Saves Nine!

“…4 Krishnakumar et al employed continuous cuff inflation with a syringe pump in order to maintain the airway seal to counter damaged ETT cuff apparatus. 5 Valasareddy et al was the only author who employed an airway exchange catheter similar to ours to change a transected tube in a maxillary sinus neoplasm resection surgery. 6 However, Valasareddy et al did not face a scenario that threatened contamination of the airway.…”

A simple approach for the management of a ruptured endobronchial cuff of the double-lumen tube using an automatic cuff pressure controller: a case study

“…However, DLT replacement may be complicated, especially when the patient is in the lateral position or the surgery has already begun. Several methods of handling endotracheal tube (ETT) cuff leakage have been reported, highlighting the principle of pumping air from the pilot balloon to the cuff continuously using an air-filled syringe attached to a syringe pump [2][3][4]. Despite this, the cuff pressure should always be measured and controlled to prevent barotrauma, which is an important complication in a syringe and syringe pump system [Groves, 2010 #292].…”

A rare incident of accidentally cut inflation tube in a critically ill intubated patient: Quick and simple approach that proved lifesaving

“…Management of intraoperative cuff leak without changing ETT has been reported. [ 1 ] However, intraoperative cuff leak may at times be safely managed by changing ETT in patients who are not critically ill and without co-morbidities. [ 2 ] A rare cause of repeated cuff rupture in a case requiring nasal intubation due to restricted mouth opening was a nasal spur which was managed by submental intubation.…”