Misconnection of Oxygen Tubing to the "Smart Cuff Manager" Causing Cuff Explosion: A Preventable Equipment Error.

Authors

Alexander Tzabazis, Christoph Niemeyer, Markus Stuhr

Published in

A&A practice. Volume 20. Issue 10. Pages e02297. Oct 01, 2026. Epub Oct 01, 2026.

Abstract

We report a case of sudden airway bleeding and airway loss secondary to an accidental misconnection of oxygen tubing to a "Smart Cuff Manager" (TRACOE, TRACOE medical GmbH) instead of a "Humidotrach" (heat and moisture exchange (HME) filter; Humidotrach Pro Iso, Fahl Medizintechnik-Vertrieb GmbH).

PMID:
42825740
Bibliographic data and abstract were imported from PubMed on 02 Oct 2026.

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