A postoperative recovery room serves to care for patients until they are sufficiently recovered from the physiologic derangements produced by surgery and general anesthesia. Upon emergence from general anesthesia, airway obstructuion, hypoxemia, pneumothorax, hypotension, hypertension, aspiration or excitement may occur. A Case of presented of acute respiratory distress resulting from pneumothorax and subcutaneous emphysema in the recovery room. This complication was the result of an accidental sealing of the tracheal tube with plaster by an aid nurse. The patients was discharged with no problems. We report this case along with a review of the literature.