72-year-old male, day 14 ICU, post Ivor-Lewis oesophagectomy, complicated by anastamotic leak, multiple pneumothoraces, and atrial fibrillation. Clinical findings included bleeding from fresh tracheostomy with intermittent air leak, subcutaneous emphysema, left bronchopleural fistula, bile draining from right-sided chest drains and jejunostomy feeding tube. Candidates were directed to establish the nature of the post-operative complications.