• J Clin Anesth · May 1991

    Case Reports

    Bilateral tension pneumothorax due to a defective anesthesia breathing circuit filter.

    • C E Smith, J R Otworth, and P Kaluszyk.
    • Department of Anesthesiology, MetroHealth Medical Center, Cleveland, OH 44109.
    • J Clin Anesth. 1991 May 1; 3 (3): 229-34.

    AbstractA 25-year-old healthy patient developed bilateral tension pneumothorax during general endotracheal anesthesia due to a defective anesthesia breathing circuit filter. Prompt diagnosis and treatment of the pneumothorax was facilitated by the use of capnography and pulse oximetry. The manufacturing process of the breathing circuit and filter that made this accident possible has since been corrected by the manufacturer. Anesthesiologists must be alert to the possibility of such accidents with any breathing system using bacterial filters.

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