{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:15:04Z","timestamp":1758845704244,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,9,10]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Surgical correction is the definitive treatment for adolescent idiopathic scoliosis (AIS), but 25% of cases may experience screw migration, risking injury to thoracic structures. Video assisted thoracoscopic surgery (VATS) can visualise malpositioned screws and resolve injury. This report presents a case of an AIS patient who underwent prone VATS for simultaneous screw correction after posterior spinal fusion. While traditional VATS uses a double lumen tube (DLT) in the lateral decubitus position, DLTs are less ideal for prone surgery. Bronchial blockers (BB), like the EZ-Blocker (Teleflex, Wayne, Pennsylvania), can be used with a more stable armoured single lumen tube (SLT). The EZ-Blocker, a Y-shaped BB, offers stability and sequential lung isolation. Studies show EZ-Blocker performance is comparable to DLTs in lung isolation quality and surgeon satisfaction, though it requires longer placement time and offers limited suctioning. This case demonstrates that an EZ-Blocker with an armoured SLT is a safe, effective airway option for prone VATS.<\/jats:p>","DOI":"10.1136\/bcr-2025-266841","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T10:30:13Z","timestamp":1758796213000},"page":"e266841","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Right lung isolation in the prone position using an EZ-Blocker through an armoured endotracheal tube for combined spine and video-assisted thoracoscopic surgery"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8905-9179","authenticated-orcid":false,"given":"Joanne Karol Cruz","family":"Alonzo","sequence":"first","affiliation":[{"name":"Anesthesiology, University of the Philippines Manila, Manila, National Capital Region, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo De 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