Notwithstanding the active opposition of many prominent British and continental specialists, the administration of large doses of antidiphtheritic serum and intubation have become generally recognized as among the most successful life-saving methods in the hands of pediatrist or laryngologist. This treatment, however, of laryngeal diphtheria in private practice has not attained the wide field of usefulness which it deserves. The larger and earlier doses of antitoxin have developed new indications for the treatment of tube cases, and greatly reduced the mortality.
In an experience with over 350 intubations, with antitoxins in private practice some peculiar difficulties have been encountered which I have not observed to have been recorded in our literature, except meagerly. The usual technic of intubation may be necessarily modified in a hurried introduction of the tube. When the handle of the introducer can not be pressed well down against the chest wall, the tube may be passed
SHURLY BR. INTUBATION.INCLUDING A REPORT OF SOME UNUSUAL CASES.. JAMA. 1904;XLIII(18):1304-1307. doi:10.1001/jama.1904.92500180001h