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December 1960

Tracheotomy in the Newborn

Author Affiliations

Berkeley, Calif.

Am J Dis Child. 1960;100(6):881-885. doi:10.1001/archpedi.1960.04020040883014

Introduction  The reluctance to perform tracheotomy in other than terminal respiratory obstruction has been somewhat overcome in recent years. However, there remains considerable apathy in some areas, when one is confronted with respiratory problems in the newborn, toward utilizing this procedure. Whatever the reasons, they are largely insupportable in clinical situations in which the alternative is constantly impending asphyxia.The purpose of this paper is to propose tracheotomy in the newborn, not as a desperate, last-resort operation, but as a planned emergency procedure of value, indeed of necessity, in the proper management of certain respiratory problems.The subjects of tracheotomy and tracheotomy in infancy have been covered by several authors in recent literature. The indications are discussed as they apply specifically to conditions encountered in the newborn in articles by Bigler, Holinger, et al.,6 Diab,7 and Goff.8As pointed out by Reichert,11 respiratory distress is the

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