Archives of Disease in Childhood - Education and Practice 2008;93:44-49; doi:10.1136/adc.2007.121160
Copyright © 2008 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health
Neonatal endotracheal intubation
J P Wyllie
Correspondence to:
J P Wyllie, Department of Neonatology, The James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK; jonathan.wyllie@stees.nhs.uk
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Despite the fact that neonatal endotracheal intubation was described more than 2000 years ago,1 it was only in the 18th and 19th centuries that it began to be accepted as a worthwhile technique for ventilating lungs at birth.2–4 Nevertheless, the practice fell out of favour and many other strange methods were used to resuscitate babies at birth.5 However, in the early 20th century Flagg recommended endotracheal intubation for positive pressure ventilation of newly born babies in the USA6 and Blaikely and Gibberd made similar recommendations in the UK in 1935.7 Conversely, the only trial in humans of intubation at birth compared with the standard technique of resuscitation in a pressure chamber in 1966 found no difference between the two practices.8 It was with the developments in artificial respiration in the 1960s and 1970s that endotracheal intubation became an established part of the developing speciality of neonatal intensive care. Although it . . . [Full text of this article]
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Copyright © 2008 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health