Paediatric anaesthesia & critical care

Automated Versus Manual Endotracheal Tube Cuff Pressure Control in Mechanically Ventilated Children: A Randomized Crossover Trial

Paediatr AnaesthPublished Randomised crossover trial

Authors' conclusion

Automated cuff pressure control more reliably maintains target pressure and minimizes clinically important deviations compared to manual management.

Study context

Population
Mechanically ventilated pediatric patients (1 month-18 years) expected to require ventilation for ≥ 48 h768 measurements
Participants
Thirty-two participants
Comparison
Automated vs manual endotracheal tube cuff pressure control
Primary endpoint
Frequency and cumulative duration of off-target cuff pressure exposure
Methodological detailsprospective
  • Prospective

Primary result

As reported in the abstract

Off-target cuff pressure

Off-target cuff pressure

High-pressure episodes (> 25 cmH2O)

P < 0.001

Total time outside target range Automated 10 h · Manual 118 h · P < 0.001

  • Manual vs Automated: P < 0.001 — low cuff pressure episodes (< 15 cmH2O)

Secondary outcomes

Nursing workload · significantly lower in the automated phase

P < 0.001

Original publication

Automated Versus Manual Endotracheal Tube Cuff Pressure Control in Mechanically Ventilated Children: A Randomized Crossover Trial. Paediatr Anaesth. Published 16 July 2026. doi:10.1002/pan.70268

Composed by AI from the published abstract and checked against it. How Briefs are made →

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