Abstract
We present the case of a 67-year-old male patient who was brought to the ICU after cardiac arrest. Advanced cardiovascular life support (ACLS) measures, including chest compressions, resulted in bilateral pneumothoraces requiring bilateral chest tubes. A persistent air leak was noted on the right side, leading to a bronchopleural fistula, which required constant suction and significantly limited the treatment options that could be offered to the patient. He ultimately succumbed to his injuries because the degree of suction required to inflate his lungs was incompatible with transportation options.