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Updated: Oct 9, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Paediatric one lung anaesthesia by selective bronchial intubation
1Department of Anaesthesiology and Intensive Care, Hospital Universiti Kebangsaan Malaysia, Bandar Tun Razak Cheras, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia. lewys@pd.jaring.my
Abstract:
One lung anaesthesia in paediatric patients may not always be achievable by bronchial blockade or double lumen tube intubation due to inadequate experiences or facilities. We attempted to isolate right lung by selectively intubating the left bronchus with single lumen tube on a 10 kg child. Optimal surgical condition and satisfactory oxygenation achieved but complicated with severe respiratory acidosis. The possible causes for hypercapnea in this child were discussed.
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