Ohio Medical College of Clinical Excellence

The College of Clinical Excellence is provided as a resource to enhance the clinician’s understanding of suction and oxygen therapy, cuff pressure management and to provide references to assist in providing safe and effective care.



Clinical Information & Reference Documents:

Published resources


White Papers:




Clinical Information:





Clinical Information:


Published resources:
Continuous Control of Tracheal Cuff Pressure and Microaspiration of Gastric Contents in Critically Ill Patients
Saad Nseir1,2, Farid Zerimech3, Cle ´ment Fournier4, Re ´my Lubret1, Philippe Ramon4, Alain Durocher1,2, and Malika Balduyck3,5  (in our brochure)

Variations in endotracheal cuff pressure in intubated critically ill patients: prevalence and risk factors
Nseir, Saad; Brisson, Hélène; Marquette, Charles-Hugo; Chaud, Pascal; Di Pompeo, Christophe; Diarra, Maimouna; Durocher, Alain Abstract - http://www.ncbi.nlm.nih.gov/pubmed/?term=Variations+in+endotracheal+cuff+pressure+in+intubated+critically+ill+patients%3A+prevalence+and+risk+factors

Bench study of new devices to display and maintain stable artificial airway cuff pressure
Howard WR 

Laboratory Evaluation of 4 Brands of Endotracheal Tube Cuff Inflator - Respiratory Care (February 2004)

Continuous endrotracheal tube cuff pressure control system protects against Ventilator-associated pneumonia
Leonard Lorente, Maria Lecuona. Cri Care 2014 18(2): R77  

Efficiency of a pneumatic device in controlling cuff pressure of polyurethane cuffed tracheal tubes; a randomized controlled study 
BMC Anethesiol 2013; 13:50 

Evaluation of an intervention to Maintain endotracheal tube cuff pressure within therapeutic range
Mary Lou Sole. Am J Crit Care  Mar 2011 

Optimal care and design of the tracheal cuff in the critically ill patient
Emmanuell Jaillete. Ann Intensive Care 2014; 4: 7 

Endotracheal Tube Cuff Pressure Threshold for Prevention of Nosocomial Pneumonia
A Chendrasekhar, MD. G. A. Timberlake, MD
Link: http://jrnlappliedresearch.com/articles/Vol3Iss3/Chendrasekhar.htm

Control of Tracheal Cuff Pressure May Cut Ventilator- Associated Pneumonia
SOURCE: http://bit.ly/qMJb4O. Am J Respir Crit Care Med 2011. Reuters Health Information © 2011. Medscape.com 
Link: http://www.gihealthfoundation.org/reuters/article.cfm?article=20110905clin003&cat=clin&dstate=GI

Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia
Am J Respir Crit Care Med Vol 171. pp 388–416, 2005 DOI: 10.1164/rccm.200405-644ST Internet address: www.atsjournals.org  (YES ON BROCHURE)/ (NOT ON PUBMED)
Link: https://www.thoracic.org/statements/resources/mtpi/guide1-29.pdf

Analysis of Problems Related to Cuffs on Intratracheal Tubes
SChest, Joel D. Cooper and Hermes C. Grillo
Link: http://journal.publications.chestnet.org/article.aspx?articleID=1059673

Guidelines for the Management of adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia American Thoracic Society Documents   (AM J Respir Criti Care Med Vol 171….)
Link: https://www.thoracic.org/statements/resources/mtpi/guide1-29.pdf

Monitoring Tracheal Tube Cuff Pressures in the ICU Can Prevent Injury - ENT Today (September 2007)
Link: http://www.enttoday.org/details/article/526393/Monitoring_Tracheal_Tube_Cuff_Pressures_in_the_ICU_Can_Prevent_Injury.html

Maintaining Continuous Cuff Pressure Policy & Procedure