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Theodorus J. Koopman, MD
Nij Smellinghe Hospital Drachten, The Netherlands

JAMA. 1973;223(9):1042.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

When performing bronchoscopy with the patient under a general anesthetic, one source of annoyance is the fluctuating escape of gusts of anesthetic gases along the sides of the bronchoscope tube. Although this is mainly a problem for the anesthetist, the endoscopist also has to cope with it and is discomforted by it, especially if the patient is in a generally poor condition and the endoscopy needs to be continued for a considerable time.

If the cuffed sliding metal sleeve is used together with the three-window slotted bronchoscope, no anesthetic gases can escape past the inflated cuff. At the same time, the bronchoscope is freely movable from one lung to the other. Obviously, only a regularly round bronchoscope can be used for this device.

Figure 1 shows the bronchoscope with the three-window slots, the new sliding metal sleeve with its bayonet fitting the locking notch, and the inflatable . . . [Full Text PDF of this Article]

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