ABSTRACT

The patient is intubated with a double-lumen endotracheal tube. If the diverticulum is large (the usual situation requiring operation) the aspiration risk in these patients is substantial, and care should be taken during induction. The patient is then placed either in the full left lateral decubitus position, or our preference is for the patient to be placed in the fully prone position. The advantage of the fully prone position is that the lung falls forward, so with minimal insufflation gas pressure there is usually no need to deflate the right lung.