title: Tension pneumothorax during flexible bronchoscopy in a nonintubated infant.
abstract: We describe the case of a tension pneumothorax occurring during flexible bronchoscopy in a nonintubated infant. The pneumothorax likely occurred secondary to wall source oxygen insufflation via the bronchoscope without sufficient gas egress. The use of wall source oxygen via the bronchoscope working channel is inherently dangerous and should be avoided.
authors.affiliation: Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Saskatchewan, Saskatoon, Canada.
authors.forename: Ian A
authors.initials: IA
authors.lastname: Chan
authors.affiliation: Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Saskatchewan, Saskatoon, Canada.
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Gamble
mesh_terms: D001999:Bronchoscopy / Q000009:adverse effects*; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy; D006801:Humans; D007223:Infant; D007327:Insufflation; D008297:Male; D010100:Oxygen / Q000008:administration & dosage / Q000009:adverse effects*; D011030:Pneumothorax / Q000209:etiology* / Q000628:therapy
chemical_list: D010100:Oxygen
keywords: anesthestics; bronchoscopy; general; heart arrest; infant; insufflation; pneumothorax