title: Hazard warning. A case of postoperative pulmonary barotrauma.
abstract: A case is described in which extensive pulmonary barotrauma occurred due to the application of a face mask to an indwelling cuffed endotracheal tube. The design of the mask is such that a seal was made between the mask and the tube. The design of mask is widely used in theatre recovery areas and clinicians are alerted to this potential hazard.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Westminster Hospital, London.
authors.forename: P D
authors.initials: PD
authors.lastname: Grime
authors.forename: T J
authors.initials: TJ
authors.lastname: Malins
mesh_terms: D000328:Adult; D001469:Barotrauma / Q000150:complications*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000295:instrumentation; D055370:Lung Injury; D008397:Masks; D009333:Neck; D010102:Oxygen Inhalation Therapy / Q000009:adverse effects* / Q000295:instrumentation; D011026:Pneumopericardium / Q000209:etiology; D011183:Postoperative Complications; D013352:Subcutaneous Emphysema / Q000209:etiology