Bilateral Pneumothorax from Suction Applied to a Ventilator Exhaust Valve

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Several possible causes of pneumothorax and its sequelae have been well described.1−3 Its occurrence during anesthesia is potentially catastrophic if not quickly recognized and corrected. This is a report of a case of bilateral tension pneumothorax, pneumomediastinum, and subcutaneous emphysema which rapidly developed following an intraoperative change in the ventilator scavenger system.

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