Smiths Medical Portex PEEP-Keep Fiber-Optic Bronchoscope Dual-Axis Swivel Adapter allows bronchoscope access to the airway while maintaining ventilation, oxygenation, and PEEP. It helps reduce potential for oxygen deprivation and resulting cardiopulmonary distress. Permits suctioning without disconnecting the ventilator circuit. Standard dual-axis swivel adapter is for use when maintenance of PEEP is not critical.