42 year old ASA 1 for acdf...put her to sleep....develops bronchospasm after intubation...which gets worse and worse...one of the worse cases I've seen in probably 10 years....Treat her with ALL the therapies available while trying to ventilate her.

Actually gets worse after NMB was given....improved some after epi iv....sats stayed in the 60's for what seemed like hours but was probably minutes..

Cyanosis was bad enough that the "don't cancel my cases" orthopod asked if we should cancel.

Got a CXR during all this:




what does everyone think?