When intubating, we all know to check the depth of the endotracheal tube. Most people believe this is just to ensure that the tube is not too deep and therefore causing a mainstem intubaton: intubating just one bronchus and therefore only one lung. However, there are significant risks with having the tube too shallow as well, risks such as accidental extubation and potentially causing permanent damage to the recurrent laryngeal nerves. Here we discuss some of the warning signs that the cuff is too high and what to do about it. Read More …