title: Tension pneumothorax during ventilation via Ayre's T-piece.
abstract: The occurrence of a pneumothorax in a 4-week-old infant is described. The cause of the problem is believed to have been a kink in the silastic reservoir tube. The failure of the monitors to detect the event and methods of improving safety are discussed. Difficulties may occur even with familiar equipment; the value of full monitoring and constant vigilance are stressed.
authors.affiliation: Department of Anaesthetics, Royal Preston Hospital, Fulwood, Lancs, UK.
authors.forename: M A
authors.initials: MA
authors.lastname: Sabar
authors.forename: K F
authors.initials: KF
authors.lastname: Teale
authors.forename: J M
authors.initials: JM
authors.lastname: Fryer
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications; D008297:Male; D016343:Monitoring, Intraoperative; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012121:Respiration, Artificial / Q000009:adverse effects* / Q000295:instrumentation