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Logo of procrsmedFormerly medchtJournal of the Royal Society of MedicineProceedings of the Royal Society of Medicine
 
Proc R Soc Med. 1928 December; 22(2): 83–88.
PMCID: PMC2101959

Endotracheal Anæsthesia

Abstract

(1) With certain exceptions, endotracheal anæsthesia is the best method for operations on the head and neck and for any other operation in which there may be a difficulty in controlling the patient's air-way. (2) Expiration should be provided for, in endotracheal anæsthesia, either by means of a second tube or by a tube of calibre sufficient to permit to-and-fro respiration. (3) Cocainization of the upper air-passages has decided advantages in endotracheal anæsthesia. (4) “Blind” intubation through the nose renders the method possible in cases where it is impossible to use a speculum. (5) The insufflation method is not specially indicated in abdominal surgery. (6) The routine use of endotracheal anæsthesia in teaching-hospitals for every class of case is detrimental to the production of sound anæsthetic knowledge in students who are likely to become general practitioners.

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