Curious Case of Pediatric One‑Lung Ventilation with Two Endotracheal Tubes: A Case Report

Abstract

One‑lung ventilation is indicated during thoracic surgery for visualization and exposure of surgical site. It is achieved with bronchial blockers, double‑lumen endobronchial tube, single‑lumen endotracheal tubes and Univent tube for infants and children. Fibreoptic bronchoscope is required for placing and confirming the correct position of these tubes. We report a perioperative management of safe conduct of one lung ventilation for a 6‑year child undergoing left lower lobe lobectomy through C‑MAC video laryngoscope guided two single lumen tubes in limited resource settings where paediatric‑sized fibreoptic bronchoscope is unavailable.