2009
DOI: 10.1111/j.1365-2044.2008.05755.x
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The Hewitt airway – the first known artificial oral ‘air‐way’ 101 years since its description

Abstract: Summary The year 2008 marked 100 years since the publication of Sir Frederic W. Hewitt’s description of his artificial airway. Hewitt’s airway was the first known oral airway and laid the foundations for the numerous other airways that were later developed. Oral airways made anaesthesia safer and significantly reduced the trauma associated with earlier attempts at managing the obstructed airway.

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Cited by 6 publications
(9 citation statements)
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“…Brimacombe et al described a newborn infant with sudden apneic episodes during helicopter transport 21 . The median (IQR) gestational age and birth weight of these five infants was 36 (35)(36)(37)(38)(39)(40) weeks and 2800 (2610-2900) grams, respectively. All five infants required rescue airway management with LM as both bag and mask ventilation or endotracheal intubation either failed or were not feasible [20][21][22]27,84 .…”
Section: Neonatal Transportmentioning
confidence: 98%
See 1 more Smart Citation
“…Brimacombe et al described a newborn infant with sudden apneic episodes during helicopter transport 21 . The median (IQR) gestational age and birth weight of these five infants was 36 (35)(36)(37)(38)(39)(40) weeks and 2800 (2610-2900) grams, respectively. All five infants required rescue airway management with LM as both bag and mask ventilation or endotracheal intubation either failed or were not feasible [20][21][22]27,84 .…”
Section: Neonatal Transportmentioning
confidence: 98%
“…Sir Fredrick Hewitt recognized that upper airway obstruction was a common problem during general anesthesia 38 . In 1907 he presented the first known artificial oral 'air-way' (Table 1) [38][39][40] . Following Hewitt, Lumbard 41 and Waters 42 also developed oropharyngeal airways (Table 1).…”
Section: Oropharyngeal Airwaysmentioning
confidence: 99%
“…Arthur Guedel made several modifications to the Hewitt design and widely popularized its use. 1,3 To this day, it remains a simple curved metal or hard plastic ovoid tube that is inserted into the mouth and over the back of the tongue into the posterior pharynx with a small flange that remains anterior to the teeth to help keep it in place. If the patient's gag reflex is intact, sedation is required to place this oropharyngeal device or execute other advanced maneuvers to secure the airway.…”
Section: Discussionmentioning
confidence: 99%
“…The Hewitt airway remains the earliest known oropharyngeal airway unequivocally described for the management of upper airway obstruction 6 recognised for the successful demonstrations that led to the worldwide adoption of ether anaesthesia, but not as the first person to administer ether for a surgical procedure. Similarly, Hewitt is acknowledged for the earliest known oropharyngeal airway to treat airway obstruction and for convincing other practitioners of the benefits of such devices.…”
Section: Doyen's Laryngeal Tubementioning
confidence: 99%