In Reply:—

The use of a condom as a blade cover was not meant to replace regular blade cleansing. However, because of the protective effect of the condom, sputum or a small blood clot could be avoided. In the situation of a difficult intubation, splitting of a condom may be unavoidable, but using two condoms at the same time may be effective. In our hospital, anesthetic drugs and equipment are locked up in an anesthesia cart when not in use, so the storage and disposal of condom packets are restricted to medical personnel only. Patients should be restrained from exposure to any kind of medical equipment while they are awake. Regarding the odd taste suggested by Dr. Brownlow, among the 2,000 patients I have encountered, not a single patient has made this complaint. Also, condoms with fruity or mint taste are available on the market.