Modified technique for endobronchial blocker placement in pediatric patients undergoing thoracic surgery

Abstract Background One lung ventilation (OLV) in small children can be achieved using an Arndt endobronchial blocker (AEBB), but it presents challenges. OLV during thoracic procedures provides better surgical conditions and postoperative outcomes. Aim To report a novel technique to improve placement and repositioning of an extraluminal AEBB for OLV. Material and Methods We describe how an angled wire is successfully used for extraluminal AEBB placement in pediatric thoracic procedures. Discussion Since 2017, we have successfully used this technic in over 50 infants and toddlers and overcome challenges of the classic OLV in this age group. Conclusions The described technique allows for fast, safe, and reliable OLV while maintaining the ability to reposition the AEBB.