The use of endotracheal methods of anesthesia has been widely accepted for adults. For children, such methods are standard in many operations, especially those about the head and neck, such as craniotomy and cleft palate. The use of endotracheal anesthesia for tonsillectomy and adenoidectomy in children has gained favor slowly in spite of its being the routine method of general anesthesia for tonsillectomy in adults in many hospitals. We believe that the advantages of endotracheal anesthesia for tonsillectomy and adenoidectomy are as great for children as for adults, if not greater, and in our experience the disadvantages have been encountered no more frequently and they have been of no greater magnitude in children than in adults.
The endotracheal tube serves as an airway that is continuously patent in contrast to the frequent obstruction to respiration that occurs during tonsillectomy when an endotracheal tube is not used. A continuously patent
Pender JW, Hallberg OE. ENDOTRACHEAL ANESTHESIA FOR TONSILLECTOMY AND ADENOIDECTOMY IN CHILDREN. JAMA. 1953;153(12):1073–1074. doi:10.1001/jama.1953.02940290005002