A short presentation as part of a larger discussion/series on the lost art of Blind Nasal tracheal Intubation. This part presents a historical perspective

1. A little backstory on Nasal ETT

2. TRIVIAL PURSUIT
TIME
• Sir Ivan Whiteside Magill who
pioneered “Awake Blind
Nasotracheal Intubation” via
the “Insufflation Method” also
designed the “Magill Forceps”
, still in common use today.
• Sir Magill lived to be 98 years
old, finally dying in 1986. This
was long enough to see nasal
ETT using his methods spread
through the EMS and
Emergency Medicine World.
Sir Ivan Magill, courtesy of Gillies Archives, Queen Mary's Hospital, Sidcup UK

4. The original use of the Magill forceps

5. Circa 1928…

6. Circa 1950…
Even in 1950, Nasal ETT was reported at a respectable 85-87%
success rate….

7. Circa 1986
• Sir Magill lived to be 98
years old, finally dying
in 1986.
• This was long enough
to see nasal ETT using
his methods spread
through the EMS and
Emergency Medicine
World

8. Circa 1989
• “…Blind nasotracheal intubation is a safe
initial field airway approach in spontaneously
breathing patients in whom there are no
contraindications. Even with a low frequency
of performance, success and complication
rates are acceptable.”

9. Circa 1990’s

10. Where are we today?