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Securing a patent artificial airway in infants and children can be challenging, especially in preterm infants who are low or very low birthweight and/or when there is a need for an emergent intubation. In a letter to the Editor, Drs Bellini and Massirio emphasize the challenges clinicians have with initial placement of the endotracheal tube (ETT) in the mid-tracheal position. They also brought to light that the focus of the Kittredge Lecture paper1 was on oral intubation. Preferences for the route by which the trachea is intubated vary and may be dependent, as they point out, as a matter of training or clinician’s preference. The omission of nasal intubation as a focused area was not intended to minimize the importance of the use of this route. Rather, there was a focus on the most commonly used method of intubating the trachea by respiratory therapists. It is, however, important to note that the …
Correspondence: Teresa A Volsko MBA MHHS RRT FAARC, Quality and Data Integration, The Centers, 3500 Euclid Avenue, Cleveland, Ohio 44103. E-mail: teresa.volsko{at}thecentersohio.org.
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