title: Severed cuff inflation tubing of endotracheal tube: A novel way to prevent cuff deflation.
abstract: A well-secured endotracheal tube (ETT) is essential for safe anesthesia. The ETT has to be fixed with the adhesive plasters or with tie along with adhesive plasters appropriately. It is specially required in patients having beard, in intensive care unit (ICU) patients or in oral surgeries. If re-adjustment of the ETT is necessary, we should be cautious while removal of the plasters and tie, as there may be damage to the cuff inflation system. This can be a rare cause of ETT cuff leak, thus making maintenance of adequate ventilation difficult and requiring re-intubation. In a difficult airway scenario, it can be extremely challenging to re-intubate again. We report an incidence where the ETT cuff tubing was severed while attempting to re-adjust and re-fix the ETT and the patient required re-intubation. Retrospectively, we thought of and describe a safe, reliable and novel technique to prevent cuff deflation of the severed inflation tube. The technique can also be used to monitor cuff pressure in such scenarios.
authors.affiliation: Department of Anaesthesia, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Amrut K
authors.initials: AK
authors.lastname: Rao
authors.affiliation: Department of Anaesthesia, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Souvik
authors.initials: S
authors.lastname: Chaudhuri
authors.affiliation: Department of Anaesthesia, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Tim T
authors.initials: TT
authors.lastname: Joseph
authors.affiliation: Department of Anaesthesia, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Deependra
authors.initials: D
authors.lastname: Kamble
authors.affiliation: Department of Anaesthesia, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Gopal
authors.initials: G
authors.lastname: Gotur
authors.affiliation: Department of Anaesthesia, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Venkatesh
keywords: Epidural connector; preventing deflation; severed cuff tubing