Cuff pressure gauges help reduce the risk of pressure necrosis and mucosal ischemia. Cuff pressure measurement has been established as a standard procedure in many departments. More and more professional associations in anesthesiology and intensive care around the world support the systematic control of cuff pressure in the recommendation in their guidelines. Ventilator-associated pneumonia (VAP) is the leading nosocomial cause of death in the intensive care unit and has a significant impact on hospital costs and length of stay. A leading cause of VAP is microaspiration of potentially infectious secretions through microchannels formed from infolding of excess cuff material after inflation. Cuff pressure management can help reduce tracheal ischemia and subsequent complications. The availability of the device and the accuracy of the measurement are fundamental to the success of the treatments.