1). Cuffed Endotracheal tubes in Pediatric Anaesthesia / Intensive care unit — Small volume cuffs are sufficient for good seal. Large cuffs are leading to tight intubations and usage of lesser size ET tubes .. 2). Most of The cuffed Endotracheal tubes available in market — are having large cuffs and are leading to complications like —  injuries to vocal cords, Stridor, Bronchospasm, Postoperative severe sore throat, etc .. 3). Only RUSCH is producing Endotracheal tubes with small cuffs ..

4). Anesthesiologists should —   take time, observe, Estimate the size properly and extent of the cuff  — before inflating and fixing the tube . 5). Should recheck the tube, after INFLATING THE CUFF ..especially in Pediatric Neonatal intubation...Cuff shud not be between the vocal cords (even partially) .. 6). Same precautions before Extubation  — complete deflation, very slow Extubation. **** *7).…