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Whilst a double lumen tube (DLT) is the gold standard for one lung ventilation, its double curvatures and increased diameter can make intubation difficult, potentially compounded by a challenging airway. We describe the successful placement of DLT in a difficult airway, and confirmation of the appropriate placement of DLT by using flexible paediatric video-ureteroscope (digital Olympus URF-V2/V2R), without which the purpose of achieving lung isolation was not possible.

Novel Use of Flexible Paediatric Video-Ureteroscope to Confirm Double Lumen Tube Placement as an Alternative to the Conventional Bronchoscope