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The endotracheal tube (ETT) was first reliably used in the early 1900s.[1] In its simplest form, it is a tube constructed of polyvinylchloride (PVC) that is placed between the vocal cords through the trachea to provide oxygen and inhaled gases to the lungs. It also serves to protect the lungs from contamination such as gastric contents and blood. The advancement of the endotracheal tube has closely followed advancements in anesthesia and surgery.[2] Modifications have been made to minimize aspiration, isolate a lung, administer medications, and prevent airway fires. Despite advances with the endotracheal tube, more research to optimize its use is necessary. For example, ventilator-associated pneumonia (VAP) is a major concern, and the ETT itself is felt to be a primary agent for the development
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