One lung ventilation in tracheostomised patient

What is it about?

Providing one lung ventilation (OLV) for thoracic surgery is a challenge when patients are post laryngectomy or have a tracheostomy tube in situ. We anesthetised a patient with carcinoma of pyriform fossa having tracheostomy for video-assisted thoracoscopic (VATS) oesophageal mobilisation as a part of a major surgery using Arndt endobronchial blocker.

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Why is it important?

Providing lung isolation in a difficult airway or a patient with tracheostomy is a challenge. The case report deals with our experience.