One lung ventilation at high altitude (11600 ft) for video assisted thoracoscopic surgery (VATS) in a case of covid-19 sequela-empyema thoracis

Lung isolation for surgical facilitation by means of one lung ventilation (OLV) is seeing widespread use in all age groups due to increasing incidence thoracoscopy and video-assisted thoracoscopic surgery (VATS). most commonly achieved double-lumen endotracheal tubes with or without a bronchial blocker. Development intraoperative hypoxaemia (arterial oxygen saturation <90%) caused OLV known hazard. In high altitude area (HAA), the lowered amount O2 decrease barometric pressure (BP) leads hypobaric hypoxia. Covid 19 directly impacts lungs damages alveoli affected individuals exacerbating Though rare, respiratory long-term sequelae COVID-19 such as abscess can occur. The management hypoxia course was challenge especially high-altitude scenario Covid-19 background. present report an adult male antibody titres who underwent at service hospital located (HAA) 11600 ft. One performed 39 Fr left double lumen tube. Correct placement confirmed fiber optic bronchoscopy. uneventful patient electively ventilated postoperatively 48 hrs. No complications were noted peri-operatively. soldier subsequently discharged convalescence.