16 year old boy was operated for acute appendicitis. He extubated himself during recovery and aspirated. Patient rapidly desaturated and was quickly refereed to KATH kumasi. Patient was received and triaged to red.He was found to be in severe respiratory distressand cyanosed. Air entry was remarkably reduced on the left lung zone and to some degere on the right. There was crepitation all over the left lung fields diagnosis of aspiration pneumonitis was put on CPAP , high doses of antibiotics. His condition still remains critical .