Abstract
A case is reported in which a spontaneous tension pneumothorax developed after outpatient general anesthesia with a nitrous oxide oxygen mixture. The patient was not intubated or ventilated with positive pressure on the airway. The pneumothorax could be attributed to either a postanesthetic coughing episode, the administration of nitrous oxide, which may have caused already present apical blebs to increase in size to the point of rupture, or both.
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