Bronchial blockers are used to achieve lung separation and one lung ventilation as an alternative to double-lumen endotrachealtubes ( DLT ) and are the method of choice in children and paediatric patients for whom even the smallest DLTs might be too big.
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However, lung deflation on the side of the chest where VATS is being performed is a must to be able to visualize and pass instruments into the thorax; this is usually effected with a double-lumen endo-tracheal tube that allows for single lung ventilation or a bronchial blocker delivered via a standard single-lumen endotracheal tube.
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