Acute Care pp 209-218 | Cite as

A New, Airway Pressure Regulated, Atraumatic Endotracheal Cuff: Experimental and Clinical Evaluation

  • A. D. Merav
  • S. J. Boley
  • H. Nagashima
Conference paper
Part of the Anaesthesiology and Intensive Care Medicine/Anaesthesiologie und Intensivmedizin book series (A+I, volume 116)


Excessive pressure exerted by inflatable cuffs against the tracheal wall is a major cause of tracheal damage. Despite the introduction in recent years of so-called “low pressure” cuffs, cases of acute and chronic tracheal damage still occur. Excessively high cuff to trachea pressures have been documented in some of these thin-walled, highly compliant cuffs, especially when the cuffs were overinflated.


Airway Pressure Tracheal Tube Tracheostomy Tube Tracheal Wall Inflatable Cuff 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Trendelenburg, F.: Beitrage zu den Operationen an den Luftwegen. Archiv f. Klin. Chir. 12, 121 (1871)Google Scholar
  2. 2.
    Grillo, H.C.: Surgery of the Trachea. Curr. Prob. Surg. Chicago: Year Book Medical Publishers, Inc., July 1970Google Scholar
  3. 3.
    Andrews, M.J., Pearson, F.G.: Incidence and Pathogenesis of Tracheal Injury Following Cuffed Tube Tracheostomy with Assisted Ventilation: Analysis of a Two-Year Prospective Study. Ann. Surg. 173, 249 (1971)PubMedCrossRefGoogle Scholar
  4. 4.
    Cooper, J.D., Grillo, H.C.: Experimental Production and Prevention of Injury Due to Cuffed Tracheal Tubes. Surg. Gynec. Obst. 139, 1235 (1969)Google Scholar
  5. 5.
    Carroll, R., Hedden, M., Safar, P.: Intratracheal Cuffs: Performance Characteristics. Anesthesiology 31, 275 (1969)PubMedCrossRefGoogle Scholar
  6. 6.
    Carroll, R.G.: Evaluation of Tracheal Tube Cuff Designs. Crit. Care Med. 1, 45 (1973)PubMedCrossRefGoogle Scholar
  7. 7.
    Spray, S.B., Zuidema, G.D., Cameron, J.L.: Aspiration Pneumonia, Incidence of Aspiration with Endotracheal Tubes. Amer. J. Surg. 131, 701 (1976)PubMedCrossRefGoogle Scholar
  8. 8.
    Pavlin, E.G., VanNimwegan, D., Hornbein, T.F.: Failure of a High-Compliance Low-Pressure Cuff to Prevent Aspiration. Anesthesiology 42, 216 (1975)PubMedCrossRefGoogle Scholar
  9. 9.
    Ching, N.P.H., Ayres, S.M., Spina, R.C., Nealon, T.F., Jr.: Endotracheal Damage During Continuous Ventilatory Support. Ann. Surg. 179, 123 (1974)PubMedCrossRefGoogle Scholar
  10. 10.
    Wu, W.-H., Lim, I.-T., Simpson, F.A., Tunrdorf, H.: Pressure Dynamics of Endotracheal and Tracheostomy Cuffs. Crit. Care Med. 1, 197 (1973)PubMedCrossRefGoogle Scholar
  11. 11.
    Ching, N.P.H., Nealon, T.F., Jr.: Clinical Experience with New Low-Pressure High-Volume Tracheostomy Cuffs. N.Y. State J. Med. 74, 2379 (1974)Google Scholar
  12. 12.
    Stanley, T.H., Liu, W.-S.: Tracheostomy and Endotracheal Tube Cuff Volume and Pressure Changes During Thoracic Operations. Ann. Thor. Surg. 20, 144 (1975)CrossRefGoogle Scholar
  13. 13.
    Revenas, B., Lindholm, C.-E.: Pressure and Volume Changes in Tracheal Tube Cuffs During Anesthesia. Acta Anaesth. Scand. 20, 321 (1976)Google Scholar
  14. 14.
    Cox, P.M., Jr., Schatz, M.E.: Pressure Measurements in Endotracheal Cuffs: A Common Error. Chest 65, 84 (1974)PubMedCrossRefGoogle Scholar
  15. 15.
    Jackson, R.R., Davis, S.D., Jr.: Hydrostatic Inflation for Low-Pressure Tracheal Cuffs. JAMA 212, 1215 (1970)PubMedCrossRefGoogle Scholar
  16. 16.
    Magovern, G.J., Shively, J.G., Fecht, D., Thevoz, F.: The Clinical and Experimental Evaluation of a Controlled-Pressure Intratracheal Cuff. J. Thor. Cardiovasc. Surg. 64, 747 (1972)Google Scholar
  17. 17.
    Carberry, D.M., Bethea, M.C.: Intervention in Tracheal Fistula. Contemporary Surgery 11, 9 (1977)Google Scholar
  18. 18.
    Kamen, J.M., Wilkinson, C.J.: A New Low-Pressure Cuff for Endotracheal Tubes. Anesthesiology 34, 482 (1971)PubMedCrossRefGoogle Scholar
  19. 19.
    Wilms: Zur Technik der Operationen im Thorax mit Uberdruck. Zentralbl. Chir. 20, 633 (1904)Google Scholar
  20. 20.
    Macintosh, R.R.: Self-Inflating Cuff for Endotracheal Tubes. Brit. M. J. 2, 234 (1943)CrossRefGoogle Scholar
  21. 21.
    Martinez, H.E.: An Improved Cuffed Tracheostomy Tube for Use with Intermittent Positive Pressure Breathing. J. Thor. Cardiovasc. Surg. 47, 404 (1964)Google Scholar
  22. 22.
    Benveniste, D.: Endotracheal and Tracheostomy Tubes with Self-Inflating Cuff. Acta Anesth. Scandinav. 11, 85 (1967)Google Scholar
  23. 23.
    Jackson, R.R., Rokowski, W.J.: An Endotracheal Tube with a Cellophane Cuff. Arch. Surg. 94, 160 (1967)Google Scholar
  24. 24.
    Arens, J.F., Ochsner, J.L., Gee, G.: Volume-Limited Intermittent Cuff Inflation for Long-Term Respiratory Assistance. J. Thor. Cardiovasc. Surg. 58, 837 (1969)Google Scholar
  25. 25.
    Lauria, J.I., Andersen, M.N.: A Minimally Traumatic Intermittently Inflated Endotracheal Cuff. Anesthesiology 31, 578 (1969)PubMedCrossRefGoogle Scholar
  26. 26.
    Rainer, W.G., Sanchez, M.: Tracheostomy Cuff Inflation Synchronously Timed with Inspiration. Ann. Thor. Surg. 9, 384 (1970)CrossRefGoogle Scholar
  27. 27.
    Merav, A.D., Boley, S.J.: Low-Pressure “Parachute” Endotracheal Cuff. N.Y. State J. Med. 71, 1926 (1971)Google Scholar
  28. 28.
    Abouav, J., Finley, T.N.: Prevention of Tracheal Injuries in Prolonged Ventilation, Laboratory and Clinical Observations on the Use of Self-Inflating Cuffs on Ventilating Tubes. Chest 71, 13 (1977)PubMedCrossRefGoogle Scholar
  29. 29.
    Nordin, V., Lyttkins, L.: New Self Adjusting Cuff for Tracheal Tubes. Acta Otolarynol. (Stockh) 82, 455 (1976)CrossRefGoogle Scholar
  30. 30.
    Nordin, V.: The Trachea and Cuff-Induced Tracheal Injury, An Experimental Study on Causative Factors and Prevention. Acta Otolarynol. Supplement 345Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1979

Authors and Affiliations

  • A. D. Merav
  • S. J. Boley
  • H. Nagashima

There are no affiliations available

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