Techniques of One-Lung Ventilation (Lung Isolation) in Children (Technical Note)

Abstract

One-lung ventilation (OLV) in pediatric patients, especially those under 8 years of age, poses significant challenges due to anatomical constraints. However, the need for lung isolation is increasing with advancements in surgical techniques such as thracoscopy. The availability of newer bronchial blockers and innovative methods of their placement have made OLV more feasible. This article briefly reviews the recent developments in pediatric OLV. Technique such as double lumen tube, bronchial blockers and endobronchial intubation of single lumen tube are discussed. Technical tips of using Bronchial blockers such as Fogarty catheters, Arndt blocker, uniblocker and univent tube are described.