The present disclosure describes systems and methods that utilize a tracheal tube system with a piezoelectric cuff inflation system. The piezoelectric cuff inflator system may include an inlet, and outlet, and a piezoelectric element. In use the piezoelectric cuff inflator system may actuate the piezoelectric element to move a fluid from the inlet through the outlet suitable for inflating one or more cuffs included in the tracheal tube system. A circuitry may provide a frequency signal suitable for delivering a constant pressure to the cuff via the piezoelectric cuff inflation system.