An ambient pressure oxygen reservoir bag apparatus for connecting to the no
nventilated lung as soon as single-lung ventilation is initiated is describ
ed. The theoretical benefits are the facilitation of collapse of the lung o
n the side of surgery and a reduced likelihood of arterial desaturation. Al
though these main benefits are yet to be proven, the authors believe that t
he weight of theoretical argument and practical observation serves to justi
fy the use of the apparatus while the outcome of suitably designed clinical
trials is awaited. It can be used for all one-lung anaesthetics and is esp
ecially recommended for thoracoscopic surgery, where temporary re-expansion
of the nonventilated lung is either counter-productive or contraindicated,
and where there is a possibility that lung collapse may be delayed.