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April 9, 1973


Author Affiliations

Medical University of South Carolina Charleston

JAMA. 1973;224(2):248. doi:10.1001/jama.1973.03220150056024

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To the Editor.—  The technique of cricothyrotomy, as told in the MEDICAL NEWS section of The Journal (Dec 4, 1972), has been known for some time, and has been used to great advantage in an emergency, when an airway was unable to be managed by any other method. To advocate this method of management of an airway as a routine during a resuscitation is indeed a radical approach to ventilation.There are several points that I, as an anesthesiologist, would certainly differ with the authors on: (1) That this technique is faster and safer than intubation that is associated with apnea and interruption of cardiac massage; A matter of opinion, but certainly not true with a person trained in airway management. (2) That the volume of gas prevents regurgitation with this technique; I know of no data to substantiate such a claim. (3) That when the catheter is inserted below