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Comment on Nasotracheal Intubation and Croup

I was interested to read the report by Rapkin in the July 1975 issue on nasotracheal intubation in epiglottitis. We have used this technique for patients with epiglottitis and acute laryngotracheobronchitis for the last five years and have recently reviewed our experience with intubation in 40 patients with epiglottitis and 47 patients with laryngotra-cheobronchitis.
 I agree with Dr. Rapkin that nasotracheal intubation is a very satisfactory procedure in epiglottitis and is virtually complication-free in skilled hands.