Beyond the conventional: Adapting the EZ-blocker® for one-lung ventilation in a tracheostomized patient

Managing one-lung ventilation (OLV) in tracheostomized patients presents distinct challenges due to altered airway anatomy and limited device compatibility, particularly when complete pulmonary exclusion is required. Standard techniques may be inadequate or impractical in such complex cases. This case report describes an adaptation of the EZ-Blocker® in a tracheostomized patient undergoing right lower lobectomy. By strategically adjusting the positioning of the endobronchial cuffs and integrating a continuous aspiration system, successful and complete right lung exclusion was achieved, facilitating ideal surgical exposure. This tailored approach not only preserved airway stability but also minimized the risk of complications associated with alternative methods. Our experience highlights the versatility of the EZ-Blocker® and expands its potential application in nontraditional airway management scenarios, offering a valuable option for anesthesiologists facing similar challenges in thoracic surgery.