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BilateraI Pneumothorax and Cardiovascular Collapse on Induction of Anesthesia

REPORT OF A CASE This 23-year-old patient (Gr. I, Para 0, Ab. 0) was admitted to Denver General Hospital, because of vaginal bleeding, at 1:15 p.m. on March 26, 1971, in her 31st week of pregnancy. Blood loss was estimated at 300 ml. She reported no previous surgical operations, blood transfusions, allergies, or cardiopulmonary disorders, and she was taking no medication. Physical examination revealed a welldeveloped parturient in no acute distress. The lungs were clear to percussion and auscultation; the heart rate was 80/min., regular, with no murmurs noted. Blood pressure was 122190, respiration rate 20/min., and oral temperature, 37" C. (98.6" F.). Her hematocrit was 37 percent and urinalysis was negative. No chest x-ray was taken.