So, when I was applying to med school I tracked down an old family friend. He's a practicing anesthesiologist and a pretty young guy (only a few years out of residency). He's a great guy and very sharp. While we were chatting (I went to visit him at the hospital to discuss my AMCAS etc), he told me that a women died under his care when he was right out of residency. I guess she was morbidly obese and was undergoing a pretty straightforward procedure (forgot what it was, but I want to say appendectomy or something like that). At the time, I really didn't ask too many questions in terms of all of the technical details. By no means did I get the impression that he was at fault. He's the kind of guy that would admit to me if he f..cked up. So, the question is, has this ever happened to any of you? It was a problem with ventilation. He indicated he couldn't hear jack when he was listening to her lungs, and then said the pulse/ox meter just kept getting longer in cycle as he tried to correct the situation. I know it's speculation, but take us through some hypotheticals as to what can happen in a situation like that. I really don't want to ask him in an email cause it may be sensitive and not something he'd really want to chat about again etc. He indicated that the situation got hectic in a hurry as he tried to alter the outcome, but that she became blue very fast due to hypoxia etc. Anyone? What would you do in such a situation? I know I'm not making it easy with the lack of details, but let's hear some scenarios from some of the attendings.