Cuff pressure monitoring by manual palpation in intubated patients: How accurate is it? A manikin simulation study

Mask pressure effects on the nasal bridge during short-term noninvasive ventilation

“…Thus, for NIV masks, an objective measurement option to monitor and reduce pressures exerted on the face by NIV masks could be helpful to reduce pressure effects and optimise the mask fit. As a clinical comparison the estimation of endotracheal tube cuff inflation pressure by palpation is inadequate to determine an estimate of the pressure existing inside the cuff [ 27 ] and the objective monitoring of endotracheal tube cuff pressures has become a standard procedure during endotracheal intubation.…”

Do we know how to properly seal the supraglottic airway devices cuff? Pilot data

“…70.7% of participants believe that the palpation measurement of the control balloon filling with air is sufficient and does not require the use of pressure gauges. It is worth emphasizing here that in Giusti et al [6] study , only 10% of respondents could correctly detect a pressure in the recommended range using manual palpation.…”

Measuring endotracheal tube intracuff pressure: no room for complacency

“…A cuff pressure of < 20 cmH 2 O was found to be an independent risk factor for developing complications [22,24]. If the cuff has insufficient inflation pressure, it increases the risk of micro-aspirations and the passage gastric contents and contaminated secretions of the oral cavity into the trachea; this potentially causing aspiration pneumonitis and pneumonia, bronchitis as well as accidental extubation and selfextubation [22,[34][35][36][37]. A previous study has shown that if the pressure inside the cuff is kept < 20 cmH 2 O, the risk of the occurrence of VAP is increased by four times compared to higher cuff pressure [36].…”