RT Journal Article
SR Electronic
T1 Bilateral Pneumothoraces in a 3-Month-Old Infant During an Apnea Test in the Diagnosis of Brain Death
JF Neurology: Clinical Practice
FD Lippincott Williams & Wilkins
SP e794
OP e795
DO 10.1212/CPJ.0000000000001052
VO 11
IS 5
A1 Ariel Daube
A1 Mohamed Gaffoor
A1 Zhanna Georgievskaya
A1 Jeffrey R. Avner
YR 2021
UL http://cp.neurology.org/content/11/5/e794.abstract
AB We present the case of a 3-month-old boy who suffered bilateral pneumothoraces secondary to insufflation of oxygen into the endotracheal tube during the apnea test as part of brain death testing. Although rare, awareness of this potential complication of the apnea test is of particular importance in pediatric patients who have narrow endotracheal tubes because resistance to expiratory flow increases exponentially as lumen diameter decreases.