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Dear Sir: —An editorial appears in the April 13th issue of your valuable journal, on intubation of the larynx, that conveys an impression that, I hope, was not intended. The impression conveyed is, that intubation being a bloodless operation, is readily consented to, and is performed early and often unnecessarily. Such an impression also prevails extensively among the profession, and it is often said, "Oh! well! all those cases would get well any way." Such statements are peculiarly aggravating when we remember how many times we are called to perform intubation because the patients are too far gone for tracheotomy, too young, or because the cases are of a too malignant nature to sanction a cutting operation. It must be remembered that nine-tenths of all these cases are in consultation with other doctors, and we are called only as a last resort when all other measures have failed, and when
JAMA – American Medical Association
Published: May 11, 1889
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