Crazy wakeup in morbidly obese patient

Wanted to get anybody's thoughts on how they would've handled it. Last week, there was a 600 lb patient undergo ECT. We were thinking of either doing it under LMA or ETT, but she was mallampati I and surprisingly easy to mask ventilate with oral airway) once she went to sleep. We used methohexital, ketamine, sux (while ramped and reversed T). Psych performed ECT and patient desatted to 70s (which was expected). I placed oral airway back in and ventilate back up to 95% and everything was... Crazy wakeup in morbidly obese patient
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums