Complications due to overinflation or underinflation of the cuff may occur.
Mduduzi Memela, Pragasan D Gopalan 2014, 'Variations in endotracheal tube cuff pressure: Is 8hourly monitoring enough', Southern African Journal of Critical Carehttp://www.sajcc.org.za/index.php/sajcc/article/download/159/206. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
There was no significant difference in overinflation between three groups.
Ata Mahmoodpoor, Ali Peyrovi-far, Hadi Hamishehkar, Zhaleh Bakhtyiari, Mir Mousa Mirinezhad,Masoud Hamidi, Samad Eslam Jamal Golzari 2013, 'Comparison of prophylactic effects of polyurethane cylindrical or tapered cuff andpolyvinyl chloride cuff endotracheal tubes on ventilator-associated pneumonia.', Acta Medica Iranicahttp://acta.tums.ac.ir/index.php/acta/article/view/4411. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Possible contributing factors to tracheal injury included overinflation of the tube cuff, chronic obstructive pulmonary disease, and chronic steroid use.
Andrea Billè, Luca Errico, Francesco Ardissone, Luciano Cardinale 2009, 'Tracheal rupture post-emergency intubation', Emergency Care Journalhttp://www.pagepressjournals.org/index.php/ecj/article/view/1234. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Both under- and overinflation of endotracheal tube cuffs can result in significantharm to the patient.
Fred Bulamba, Andrew Kintu, Nodreen Ayupo, Charles Kojjo, Lameck Ssemogerere, AgnesWabule, Arthur Kwizera 2017, 'Achieving the Recommended Endotracheal Tube Cuff Pressure: A Randomized Control StudyComparing Loss of Resistance Syringe to Pilot Balloon Palpation', Anesthesiology Research and Practicehttp://dx.doi.org/10.1155/2017/2032748. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Among the most common causes, cuff overinflation and repetitive attempts of orotracheal intubation in emergency situations are paramount.
Carlos Remolina Medina, José de Jesus Camargo, José Carlos Felicetti, Tiago NoguchiMachuca, Bruno de Moraes Gomes, Iury Andrade Melo 2009, 'Laceração traqueal pós-intubação: análise de três casos e revisão de literatura Post-intubationtracheal injury: report of three cases and literature review', Jornal Brasileiro de Pneumologiahttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132009000800014. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)