Airway management for carinal tumour resection

We describe the ail-way management during resection of a right main bronchi al and carinal "pseudotumour" in a 16-year-old patient. Two 5 mm microlaryn goscopy tubes (Mallinckrodt) were inserted side by side in the trachea, wit h one positioned in the left main bronchus and the other just below the lar ynx. Independent ventilation of both lungs, with suctioning and fibreoptic inspection of the lower trachea, could easily be carried out. Current airwa y devices used to isolate lung ventilation are reviewed and their limitatio ns considered.