Which of the following is a potential complication of using MPPV?

When discussing the potential complications of using mucosal powered positive ventilation (MPPV), a key concern involves mechanical damage that can occur due to the use of rib edges during procedures such as thoracostomy or rib-spread operations. Lung puncture from rib edges represents a direct consequence of improperly maneuvering instruments and applying force during ventilation or thoracotomy, which can inadvertently lead to perforation of the lung tissue.

This complication can manifest in the form of pneumothorax, which is a critical condition requiring immediate attention. It serves as a stark reminder for practitioners to exercise caution and precision during surgical procedures involving the chest area to avoid such damaging incidents.

While alveolar collapse, cardiac arrhythmia, and cerebrovascular accidents may occur as complications in other contexts of surgery or anesthesia, they are not as directly associated with the specific mechanics and risks involved in MPPV as lung puncture is. Understanding these nuances is vital in surgical practice to mitigate potential risks effectively.