Hazards of Intubation

INTUBATION of the trachea was first performed to perfect artificial respiration during resuscitative procedures, but its early history was a logical development of the urgent necessity to keep pace with surgical practice.It was realised that intubation could confer more ideal operating conditions for the surgeon, and thus indirectly help the patient.As modern surgical methods advanced, and the practice of intubation became more widespread, a more or less balanced attitude developed.Generally speaking, intuqation was reserved for those cases with a specific indication, and the procedure was attempted by the minority of anaxthetists.Even up to comparatively recent times the practice of surgery about the head and neck did not constitute an all-embracing indication, and neither in many clinics does it now ; though with the discovery of newer anasthetic agents the tendency to intubate for convenience and safety in the majority of such cases grew.The advent of curare and the proper rationalisation of intubation techniques and theories have opened up wider indications than the simpler ones of anatomical approach and protection of the airway.There is a tendency to intubate for convenience when this can be done easily; it is probable, however, that the indications have increased considerably, due to the greater ease and comfort with which it can be accomplished.However, minor disabilities and occasional major disasters often occur.This makes it pertinent that in all cases the advantages should be assessed against the possible disadvantages which may accrue to the patient.