In Reply We are delighted that Dr Deeb and his colleagues see applicability for use with adults as well as children of our 10 commandments for management of acute upper airway obstruction. Hopefully, our 10 rules have validity based on many years of collective experience, and we know that few otolaryngologists have more experience or wisdom than Dr Ziad Deeb. So, we agree that heart rate should be monitored closely as an indicator of changes in severity of upper airway obstruction and we fully agree that vertical incision for tracheotomy is the quickest and safest kind of incision to make.
Kenneth Grundfast. Treatment of Acute Upper Airway Obstruction—Reply. JAMA Otolaryngol Head Neck Surg. Published online October 12, 2017. doi:10.1001/jamaoto.2017.1930