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November 21, 1977

Endotracheal Intubation-Reply

JAMA. 1977;238(21):2265. doi:10.1001/jama.1977.03280220032012

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In Reply.—  We completely agree with Dr Alberty that too often inexperienced persons attempt intubation that is completely unnecessary. In the past, many persons reached our hospital using a simple oral airway with self-inflating bag. Some patients had, in fact, been supported for several hours coming from rural Colorado. Thus, intubation should be attempted only by those with requisite experience, and emphasis should be placed on simpler and safer methods of respiratory support in situations where training may not be adequate. This point was stressed in our monograph Intensive and Rehabilitative Respiratory Care (Philadelphia, Lea & Febiger Publishers, 1974, p 16).