Background
The use of endotracheal tube (ETT) is critical for main-
taining airway. Airway obstruction is caused by ETT-
manufacturing defects, cuff herniation, intraluminal
obstruction, mucus, and kink. Whenever there is acute
onset of difficult ventilation, suspect bronchospasm, or
pneumothorax. An obstruction that develops in the ETT
can be dangerous unless solved rapidly (Lewer et al. 1997;
Chua and Ng 2002; Hajimohammadi et al. 2009; Paras-
wamy 2019).