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Charles B. Watson, MD
North Carolina Memorial Hospital University of North Carolina at Chapel Hill

Philip D. Lumb, MB, BS
Duke University Medical Center VA Hospital Durham, NC

JAMA. 1985;254(22):3179-3180.

	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.—

As anesthesiologists who have been active in the critical care teaching programs at our respective institutions, we have followed the section called CONCEPTS IN EMERGENCY AND CRITICAL CARE with great interest since its first appearance in JAMA. The recent article by Natanson et al,¹ "Intubation of the Trachea in the Critical Care Setting," presents a useful review of the anatomy and the equipment involved in this frequently practiced emergency airway procedure. We believe, however, that the pharmacologic section has been overemphasized while the review of intubation techniques and discussion of approaches to intubation are inadequate.

The review of the anatomy and physiology of the airway seems appropriate, as does the section concerning preparation for intubation. The discussion of intubation techniques is unhelpful to the beginner, while the discussion of approaches to intubation in difficult critical care settings may leave dangerous impressions.

We find it ironic that . . . [Full Text PDF of this Article]

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