Note: This case is for paid subscribers, free subscribers will see a paywall.

A 70 year old woman presented to the hospital with abdominal pain and was diagnosed with a common bile duct stone.

Her past medical history was significant for smoking, obesity, OSA on CPAP, and asthma on inhaled steroids.

The patient also had tracheal stenosis from a prior intubation and was aware of it, seeing an ENT annually.

After a successful ERCP under GA the patient returned 2 weeks later for a lap chole.

The anesthesiologist intubated her using a Glidescope with a bougie and a 6.5mm ETT.

The difficulty was commented on the anesthesia record as “medium difficulty.”

The patient was extubated and brought to recovery at 10:45am.

Improve your practice as an anesthesiologist.

Upgrade to a paid subscription to read more cases and help avoid lawsuits yourself.

The patient was treated for an allergic reaction.

Then at midnight she worsened.