One-Lung Ventilation with a Single Lumen Endotracheal Tube Following Complete Laryngectomy: A Case Report

One-lung ventilation (OLV) is increasingly being employed in a wide variety of surgical operations. Even though, double lumen tube has been the mainstay of management in such cases; other lung isolation techniques have been developed over the years according to specific conditions of the patient. One such special circumstance involves the presence of a permanent tracheostomy stoma. We present a case of a 58-year gentleman, with a history of total laryngectomy and a permanent tracheostomy, who had to undergo a left open thoracotomy and lower lobe excision requiring OLV. Anaesthesiologists should be well-versed about the substitutes to provide OLV, especially in low-resource settings, in order to deliver optimum surgical conditions while maintaining standardised patient care.