{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:27:20Z","timestamp":1786739240526,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Intubation with cuffed endotracheal tube (ETT) is common in operation rooms, critical care, and emergency rooms. The pressure exerted by the cuff on the tracheal mucosa can lead to a reduction in blood flow to the tracheal wall and result in mucosal ischemia. There are many methods for ETT cuff inflation. Aim of the study was to compare the cuff pressures and volumes between the three methods of ETT cuff inflation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>One hundred and twenty patients were randomized into three groups: Group SG (stethescope guided), group AL (audible leak), and group P (palpation). In group SG, the cuff was inflated by auscultating with the bell of the stethoscope over the thyroid cartilage for leak around cuff. In group AL, the cuff was inflated by listening for an audible leak around the cuff with observer\u2019s ear 5 cm away from the mouth of the patient. In group P, the cuff was inflated by palpating for a leak over the cricoid and trachea. The adequacy of the cuff seal was compared between the groups by assessing the volumes of additional air needed to stop the leak around the cuff as confirmed by supraglottic capnometry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The initial volumes needed to inflate the cuff were significantly more in the stethoscope (SG) and hearing (AL) groups than in the palpation (P) group (SG = 5.1 \u00b1 1.4 ml, AL = 4.6 \u00b1 1.6 ml,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 3.1 \u00b1 0.9 ml; SG and AL vs. P,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Additional cuff volumes required to achieve zero leak around cuff by supraglottic capnometry were 0.85 \u00b1 1 ml in group SG, 1.3 \u00b1 1.1 ml in group AL, and 2.237 \u00b1 0.8 ml in group P (SG vs. P and AL vs. P;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Out of the auscultation-guided, audible leak-guided, and palpation-guided methods of ETT cuff inflation, the auscultation-guided and audible leak-guided methods achieve significantly better tracheal seal than the palpation-guided method.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joacp.joacp_560_20","type":"journal-article","created":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T11:03:26Z","timestamp":1672311806000},"page":"588-593","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Comparative evaluation of three methods of endotracheal tube cuff inflation for adequacy of seal"],"prefix":"10.4103","volume":"38","author":[{"given":"M.V.S.","family":"Satya Prakash","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and CC, JIPMER, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Aravind","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and CC, JIPMER, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.K.","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and CC, JIPMER, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,6,15]]},"reference":[{"key":"R1-20260203","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4037\/ajcc2011661","article-title":"Evaluation of an intervention to maintain endotracheal tube cuff pressure within therapeutic range","volume":"20","author":"Sole","year":"2011","journal-title":"Am J Crit Care"},{"key":"R2-20260203","doi-asserted-by":"crossref","first-page":"185","DOI":"10.4103\/1658-354X.82795","article-title":"Is sealing cuff pressure, easy, reliable and safe technique for endotracheal tube cuff inflation?: A comparative study","volume":"5","author":"Al-Metwalli","year":"2011","journal-title":"Saudi J Anaesth"},{"key":"R3-20260203","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1471-2253-4-8","article-title":"Endotracheal tube cuff pressure in three hospitals, and the volume required to produce an appropriate cuff pressure","volume":"4","author":"Sengupta","year":"2004","journal-title":"BMC Anesthesiol"},{"key":"R4-20260203","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1213\/ANE.0b013e3181f2ecc7","article-title":"Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: A multicenter study","volume":"111","author":"Liu","year":"2010","journal-title":"Anesth Analg"},{"key":"R5-20260203","first-page":"12","article-title":"Postoperative sore throat after elective surgical procedures","volume":"19","author":"Ahmed","year":"2007","journal-title":"J Ayub Med Coll Abbottabad"},{"key":"R6-20260203","first-page":"348","article-title":"[Incidence of pulmonary aspiration with different kinds of artificial airways","volume":"49","author":"Lien","year":"1992","journal-title":"Zhonghua Yi Xue Za Zhi (Taipei)"},{"key":"R7-20260203","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1111\/j.1365-2044.2011.06853.x","article-title":"Clinical evaluation of stethoscope-guided inflation of tracheal tube cuffs","volume":"66","author":"Kumar","year":"2011","journal-title":"Anaesthesia"},{"key":"R8-20260203","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1378\/chest.87.6.720","article-title":"Intracuff pressures in endotracheal and tracheostomy tubes. 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