Context: Single lung ventilation (SLV) and knowledge of its effects in pediatric patients has been limited by the lack of suitable double lumen tubes (DLT). The bronchial blocker (BB) described by Arndt allows SLV without a DLT, even in small children. objective: Describe the experience with the Arndt’s BB, and the effects of SLV on gas exchange in children. Design: Observational study. Setting and patients: Eleven children requiring SLV using a BB were studied at a University Hospital. Interventions: A BB was used for SLV. When the internal diameter of the ET didn’t allow the use of the BB as originally described, it was inserted into the trachea before tracheal intubation, leaving the BB next to the ET. A FOB inserted through the multi-portal adapter of the BB guided it to the desired position. Ventilatory pattern and maneuvers to restore arterial oxygen saturation (SatO 2 ) were standardized. main outcome measures: Arterial blood gases, airway pressure, and EtCO 2 were obtained in lateral decubitus position while both lungs were ventilated and during SLV. results: Ages were between seven months and four years. In 10 patients, the BB was inserted alongside the tracheal tube. In all cases the lung was quiet and deflated.

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EXPErIENCIA CLÍNICA CoN EL bLoQuEDor broNQuIAL DE ArNDT EN PACIENTES PEDIÁTrICoS