SUBGLOTTIC AND UPPER TRACHEAL MUCOSAL RESPONSE TO INTUBATION INDUCED INJURY AND MEDICATION AN ANIMAL STUDY

Abstract

Eugene Bouchut 1818 1891 was one of the earliest proponents of the technique of orotracheal intubation He used specially designed metal rods to establish a compromised airway These rods designed for establishing the airway were known as Bouchuts tubes He used them mainly for treating patients with laryngeal croup His technique of orotracheal intubation fell into disrepute because most of his patients suffered from postintubation laryngotracheal injuries or eventually had to be tracheostomised to maintain airway His method of establishing an airway by means of endotracheal intubation instead of tracheostomy was highly criticized by the members of the French Academy of Medical Science newline It was William MaCewen 1880 who revived the technique of orotracheal intubation as an alternative to tracheostomy He is credited as the first person to describe a case of prolonged ventilation in a patient who had sustained supraglottic burns after swallowing a hot potato this patient was maintained on an alternative orotracheal airway by inserting a hollow tube into the trachea and that was kept in situ for 39 hours He also described the procedure for administering chloroform for general anaesthesia Since then ETI has been established as a gold standard procedure for maintenance of airway during administration of anaesthesia and for assisted ventilation newline newline newline