The rare case of an unexpected complication of anaesthesia due to a cuff he
rnia is described. The wear-out of the inflatable cuff can provoke herniati
on on the weakest point of the cuff. This cuffhernia can either be extended
to the tube opening and leads to its closure or press this tube opening ag
ainst the tracheal wall. Main symptoms are forced respiration or ventilatio
n, which may cause hypoventilation respectively apnea and even death.