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The critically ill patient, particularly the critically ill difficult airway patient, presents unique airway challenges in emergency situations outside the operating room. The risk of life-threatening complications, including anoxic brain injury, death, and long-term disability, are exaggerated in this patient…

Key Points Polyurethane endotracheal tube (ETT) cuffs that have high-volume/low-pressure (HVLP) cuffs can conform to the irregular borders of the tracheal lumen and, therefore, are more effective at preventing microaspiration. ETT placement has mechanical and physiologic consequences. Vigilant surveillance of…