Vigilance to Prevent Organ Wastage—Bilateral Pneumothorax: A Complication of Apnea Test

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An arterial line was inserted, and labetalol infusion was titrated as per blood pressure.On day 3, pupils were dilated and nonreacting and brainstem reflexes were absent.First, AT was uneventful and was positive for brain death.For AT insufflation catheter diameter was 14 Fr and 40 cm long, the flow set on the flowmeter was >15 L, and >75% of the catheter was inserted in the ETT.During the second, AT saturation dropped to 78%, heart rate (HR) 160/minute, blood pressure dropped to 80 mm Hg systolic, and AT was abandoned.Chest auscultation revealed diminished breath sounds on the left>right side.Diagnosis of left pneumothorax was confirmed with point of care ultrasound (POCUS) (Fig. 1).A left-sided chest drain was inserted and subsequently on the right side.Patient's saturation improved.After stabilization, a second AT was conducted, and it was positive.Later, the patient underwent organ retrieval successfully.

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