Severe Stridor after Prolonged Endotracheal Intubation Using High-volume Cuffs

Abstract

Over comparable 2 yr periods, with similar patient populations, severe stridor occurred more frequently with a high-volume high-compliance cuff than with a low-compliance cuff. Laryngeal injury was the cause of the stridor, which appeared to result from trauma to the larynx during endotracheal intubation with the high-volume cuff and continued aggravation of the injury to the larynx during prolonged intubation.