[November 2, 1928.] Endotracheal Anaesthesia. By I. W. Magill, M.B.

(1) With certain exceptions, endotracheal anaesthesia is the best method for operations on the head and neck and for any other operation in which there may be a difficulty in controlling the patient's air-way. (2) Expiration should be provided for, in endotracheal anaesthesia, either by means of a second tube or by a tube of calibre sufficient to permit to-and-fro respiration. (3) Cocainization of the upper air-passages has decided advantages in endotracheal anaesthesia. (4) "Blind" intubation through the nose renders the method possible in cases where it is impossible to use a speculum. (5) The insufflation method is not specially indicated in abdominal surgery. (6) The routine use of endotracheal anaesthesia in teaching-hospitals for every class of case is detrimental to the production of sound anaesthetic knowledge in students who are likely to become general practitioners.