RT Book, Section A1 Heffner, John E. A1 Hotchkin, David L. A2 Tobin, Martin J. SR Print(0) ID 57073863 T1 Chapter 40. Care of the Mechanically Ventilated Patient with a Tracheotomy T2 Principles and Practice of Mechanical Ventilation, 3e YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-173626-8 LK accessanesthesiology.mhmedical.com/content.aspx?aid=57073863 RD 2024/04/23 AB Although Egyptian tablets depict use of tracheotomy for medical applications nearly 5600 years ago,1 initial descriptions of the procedure in Western literature did not appear until the middle of the sixteenth century.2 By 1718, “tracheotomy” became accepted terminology for the surgical technique that was then primarily used for relief of airway obstruction and removal of aspirated foreign bodies. Typically gruesome clinical results relegated tracheotomy to a reviled role in airway management and gained it a designation as the “scandal of surgery.”3 The diphtheria epidemics of the nineteenth century popularized tracheotomy.4 Tracheotomy did not become widely accepted, however, until 1909, when Chevalier Jackson standardized surgical techniques and decreased the operative mortality from 25% to less than 1%.5