Figure 67-8 Cuff wrapping technique. If a wrapped endotracheal tube is the chosen method for laser protection, the technique for wrapping is critical in ensuring protection from ignition and foil-induced mucosal abrasions. It is often helpful first to paint the tube sparingly with a medical adhesive such as benzoin or Mastisol. The end of the tape should be cut with a scalpel to approximately 60 degrees. Wrapping is begun by aligning the cut end of the tape with the junction of the tube and the proximal end of the cuff and is done in a spiral with a 30% to 50% overlap between layers. Wrapping should include the inflation tube for the cuff and should be continued until just short of the pilot balloon, with care taken not to wrinkle the tape at any point.