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April 1969

Ventilating Bronchoscopes

Author Affiliations

From the University of Tennessee, College of Medicine, Memphis.

Arch Otolaryngol. 1969;89(4):678. doi:10.1001/archotol.1969.00770020680023

THE TERM "ventilating bronchoscope" for a certain design instrument implies that other bronchoscopes are not ventilating bronchoscopes.1-3

Any bronchoscope or endotracheal tube is a ventilating instrument if properly used.

Many surgeons prefer the standard Jackson bronchoscope with the sidearm for oxygen administration because of its ease of use and better visibility. To convert such a bronchoscope to a ventilating bronchoscope, the anesthetist removes the rubber face mask from his anesthetic machine and substitutes a universal endotracheal adapter which is connected to a three foot length of rubber tubing. This in turn attaches to the sidearm (aspirating canal) of the bronchoscope. The surgeon holds his finger periodically over the end of the bronchoscope when the instrument is in the tracheobronchial tree and then the anesthetist can easily inflate the lungs at will, using either pressure on the rubber bag or short bursts with the flush valve on his machine. The

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