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Shirley Harold Baron, MD
University of California San Francisco

JAMA. 1975;231(12):1228.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In the Nov 11 issue of THE JOURNAL (230:821, 1974), a letter by Rucker and Harrison states that an endotracheal tube is left in place for three to four days in children with acute epiglottitis. I approve of the use of a small endotracheal tube when there is respiratory distress, but this should be followed by an "orderly" tracheotomy, a procedure that I have done for years.

With every instance of epiglottitis, there is some inflammation of the internal structures of the larynx. Leaving a foreign body in such a larynx for three or four days is definitely a hazard. The authors are fortunate not to have had a laryngeal complication with this prolonged intubation method. . . . [Full Text PDF of this Article]

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