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October 1947


Author Affiliations

From the Department of Anesthesiology, University of Illinois College of Medicine, and the Veterans Administration Hospital, Hines, Illinois.

Arch Surg. 1947;55(4):493-497. doi:10.1001/archsurg.1947.01230080501009

MODERN endotracheal anesthesia is a technic in which the administration of an anesthetic may be facilitated and the patient benefited by an artificial extension of the tracheobronchial tree by means of a tube through which the patient's respiratory exchange takes place. Endotracheal tubes are made of materials such as rubber and plastic. When in place these tubes create a relatively nonobstructable channel through which the respiratory exchange occurs.

Basically, an endotracheal technic is one in which a tube is passed through the mouth (constituting an orotracheal intubation), through the nose (constituting a nasotracheal intubation) or through a tracheostomy opening (constituting a tracheostial intubation). Intubation may be performed under direct vision by the use of a laryngoscope or by the so-called "blind" technic, the tube being maneuvered through the glottis by skilful manipulations. Successful intubation requires considerable practice and a good knowledge of the structure and the functions of the upper

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