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The Timing of Tracheotomy An Evolving Consensus

1989; Elsevier BV; Volume: 96; Issue: 4 Linguagem: Inglês

10.1378/chest.96.4.712

1931-3543

Michael J. Bishop,

Foreign Body Medical Cases

In 1807, Napoleon Bonaparte's great-nephew died of diphtheria, prompting the Emperor to offer a prize for research to combat that illness, thus stimulating work on airway management.1 Tracheotomy was identified as useful therapy and became the standard of care. When Bouchut suggested translaryngeal intubation as a better alternative, he was condemned by an investigative committee of the Paris Academy. However, an ocean away, O'Dwyer in New York routinely maintained tracheal intubation for diphtheria for up to two weeks.