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A 70-Year-Old Man With Intraoperative Hypoxia and Hypotension During Total Hip ReplacementHypoxia and Hypotension During Hip Replacement

Mariam A. Alansari, MD; Ahmed A. Abdulmomen, MD
Author and Funding Information

From the Department of Adult Critical Care Medicine, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

CORRESPONDENCE TO: Mariam A. Alansari, MD, Department of Adult Critical Care Medicine, King Khalid University Hospital, College of Medicine, King Saud University, PO Box 2925 (95), Riyadh 11461, Saudi Arabia; e-mail: icu_mariam@yahoo.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(5):e160-e162. doi:10.1378/chest.14-0411
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A 70-year-old man underwent total hip replacement surgery under general anesthesia, endotracheal intubation, and controlled ventilation, with the patient in left lateral position. Intraoperatively, the patient was hemodynamically stable, with a normal range of pulse, ECG trace, oxygen saturation as measured by pulse oximetry (Spo2), and end-tidal CO2 (etco2). Five minutes after insertion of the hip prosthesis, his heart rate dropped to 30 beats/min, BP to 40/30 mm Hg, Spo2 to 70%, and etco2 to 10 mm Hg.

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