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

Lalit Jha; Shagufta Naaz; George Paul; Sanjeev Kumar

doi:10.4103/aca.aca_67_23

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

Ann Card Anaesth. 2024 Jan 1;27(1):65-67. doi: 10.4103/aca.aca_67_23. Epub 2024 Jan 12.

Authors

Lalit Jha¹, Shagufta Naaz¹, George Paul¹, Sanjeev Kumar²

Affiliations

¹ Department of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, India.
² Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Patna, Bihar, India.

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.

Publication types

Case Reports

MeSH terms

Bronchoscopy / methods
Child
Female
Fiber Optic Technology
Humans
Intubation, Intratracheal* / instrumentation
Intubation, Intratracheal* / methods
Laryngoscopy / methods
Male
One-Lung Ventilation* / instrumentation
One-Lung Ventilation* / methods