We describe the airway management during resection of a right main bronchial and carinal “pseudotumour” in a 16-year-old patient. Two 5 mm microlaryngoscopy tubes (Mallinckrodt) were inserted side by side in the trachea, with one positioned in the left main bronchus and the other just below the larynx. Independent ventilation of both lungs, with suctioning and fibreoptic inspection of the lower trachea, could easily be carried out. Current airway devices used to isolate lung ventilation are reviewed and their limitations considered.
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