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Oxygen Desaturation After Extubation

Oxygen Desaturation After Extubation

“Upon arrival to PACU, the patient’s overall color was ashen and his lips became cyanotic.”

Case Context     Provider Narrative     Lessons Learned

Case Context

Patient: middle-aged adult
Presenting diagnosis: osteoarthritis (hip)
Planned procedure: hip arthroplasty
Past medical history: hypertension, obstructive sleep apnea, left ventricular hypertrophy, obesity
Preoperative meds: not provided
Other pertinent details: physical assessment revealed short, thick neck, large tongue relative to size of mouth, an overbite, and Mallampati 2
Anesthetic plan: spinal with general anesthesia 


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