Clinical case: intraop hypoxemia during robot partial nephrectomy

So, doing my CA-3 board runner rotation and got called to a room to help out with this guy. 59yo M, 5'7", 250lb hx HTN, OSA with CPAP, >4 mets, normal EKG, nonsmoker presents for robotic L partial nephrectomy d/t 4x4x4cm mass suspicious for RCC found on CT following c/o hematuria. Normal PE except for distant breath sounds d/t pt's massive truncal obesity. Anticipated difficult airway cause he's got no chin and huge neck. Unable to pass tube with initial glidescope view, long story short he... Clinical case: intraop hypoxemia during robot partial nephrectomy
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