Bilateral thoracoscopic sympathectomy is a minimally invasive surgical procedure indicated for conditions such as primary hyperhidrosis, a condition characterized by excessive sweating, most often affecting the palms, soles, and axillae. Lung isolation is crucial to optimize surgical exposure in thoracoscopic surgeries traditionally achieved using double-lumen endotracheal tubes or bronchial blockers. EZ-Blocker is an effective tool for achieving selective or alternate lung ventilation. We present the anesthetic management of an 18-year-old female undergoing bilateral thoracoscopic sympathectomy for hyperhidrosis, with a focus on alternate lung isolation using the EZ-Blocker.
Keywords: Bilateral Thoracoscopic Sympathectomy, Lung isolation, EZ-Blocker, Bronchial blocker, Hyperhidrosis.