Small pneumothorax, leading rapidly to hypotension, electromechanical dissociation and asystole during thorascopic sympathectomy. Patient resuscitated successfully.
Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting
A.F. Smith, D. Goodwin, M. Mort and C. Pope
British Jounal of Anaesthesia 96 (6): 715-21 (2006)