{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T13:22:32Z","timestamp":1783084952029,"version":"3.54.6"},"reference-count":16,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,6,7]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>We report a case of a young female patient with American Society of Anaesthesiologists Physical Status Class I who underwent functional endoscopic sinus surgery under routine general anaesthesia. After patient positioning, a sudden increase in peak airway pressures was noted, and kinking of the endotracheal tube (ETT) was observed. Bougie-assisted ETT exchange was performed. After an otherwise uneventful surgery, the patient was extubated and transferred to the post-anaesthesia care unit before being discharged to the ward. Several hours later she developed tachypnoea and tachycardia with a drop in oxygen saturation and decreased air entry on the right side of her chest. Radiological imaging confirmed a right pneumothorax. An intercostal chest drain was placed, which allowed for gradual re-expansion of the lung and clinical improvement. She was subsequently discharged from the hospital. Pneumothorax was presumed to be secondary to airway trauma during bougie-guided tube exchange.<\/jats:p>","DOI":"10.1136\/bcr-2026-272469","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T12:56:16Z","timestamp":1783083376000},"page":"e272469","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Post-extubation pneumothorax following bougie-assisted endotracheal tube exchange"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8380-3455","authenticated-orcid":false,"given":"Faizya","family":"Taskeen","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, MS Ramaiah Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, MS Ramaiah Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6016-0463","authenticated-orcid":false,"given":"Yashashwini","family":"B","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, MS Ramaiah Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0881-6861","authenticated-orcid":false,"given":"Sudhir","family":"Sherikar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, MS Ramaiah Medical College, Bengaluru, Karnataka, 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