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March 16, 1912


JAMA. 1912;LVIII(11):803. doi:10.1001/jama.1912.04260030201029

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To the Editor:  —The interesting report (The Journal, Feb. 17, 1912, p. 467) of a few cases of "Tacks and Nails in the Air Passages; Bronchoscopy," by Dr. E. Fletcher Ingals, emphasizes and vividly portrays "the heart-breaking delays, the extreme anxiety for the patient and the knowledge that prolonged operations of this kind are dangerous, while failure may spell death for the patient, place the operator under such circumstances under an indescribable stress." The subsequent dangers of edema of the upper air-passages or even of edema of the lung and of a fatal bronchitis or bronchopneumonia are referred to.I know of one case in a New York hospital in which death resulted in a child of about 1 year, as the bronchoscope was introduced. The difficulties of bronchoscopy, even in such expert hands as Ingals', are well shown in the cases cited, though the site of the foreign body

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