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April 1951

INCIDENCE AND CONTROL OF TRAUMA ACCOMPANYING ENDOTRACHEAL ANESTHESIA: A Survey Based on the Response of One Hundred and Fifty Leading Laryngologists and My Experience of Twenty-Five Years in the Use of the Method

AMA Arch Otolaryngol. 1951;53(4):439-445. doi:10.1001/archotol.1951.03750040088010

THE FIRST report of my experience in the use of endotracheal inhalation anesthesia appeared in 1927.1 The instrumentarium reported in 19282 has been in constant use since that time. In 19373 a report based on 10 years' use of this method was accorded 25 pages of text. The present report, covering an experience of 25 years, not only confirms the experience of the first 10 years but with all humility offers this experience to those who have suffered regrets in the use of other technics and instruments.

A letter received from Dr. Chevalier Jackson dated Dec. 17, 1926 struck a prophetic note: "The great trouble has been that instead of taking a few lessons on exposure of the larynx with the laryngoscope, nearly everyone who has tried intratracheal anesthesia starts out with devising some new tube or some new method of introduction." Viewing the morbidity and the