Pediatric anesthesia & critical care

Regulation of Intracuff Pressure by Measurement of the Ratio of Expiratory to Inspiratory Tidal Volumes

Paediatr AnaesthPublished Prospective crossover trial

Authors' conclusion

Adjustment of the TVe/TVi may be a more effective means of ensuring that the cuff pressure is in the desired range than other conventionally used clinical techniques such as sealing the airway to a CPAP of 20 cmH2O.

Study context

Population
Pediatric patients presenting for GA with an endotracheal tube (ETT)median age 12 years
Participants
50 patients
Exposure
Cuff inflation by continuous positive airway pressure (CPAP) seal vs tidal volume (TVe)/TVi ratio 1.0, 0.9 and 0.8
Outcome
Intracuff pressure
Methodological detailscross-over
  • Cross-over

Main finding

As reported in the abstract

Observational data: associations, not effects.

Safety

Cuff pressures >30 cmH2O — CPAP
10 events
  • Cuff pressures >30 cmH2O: TVe/TVi 1 2 events

Cuff pressures >30 cmH2O

No cuff pressures >30 cmH2O with a TVe/TVi ratio of 0.9 or 0.8

Original publication

Regulation of Intracuff Pressure by Measurement of the Ratio of Expiratory to Inspiratory Tidal Volumes. Paediatr Anaesth. Published 5 September 2025. doi:10.1111/pan.70045

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

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