Anesthesia · single question

During sedation, SpO₂ drops below 92%. What is the most likely cause?

  1. Airway obstruction
  2. Hyperventilation
  3. Bradycardia
  4. Nitrous oxide toxicity
Show answer and explanation

Correct answer: A. Airway obstruction

  • A. Correct. Desaturation under sedation most commonly reflects a compromised/obstructed airway or hypoventilation; head-tilt/chin-lift and oxygen are the first responses.
  • B. Hyperventilation lowers CO₂ and typically maintains or raises oxygenation, not the cause of desaturation.
  • C. Bradycardia is a heart-rate change; it may follow hypoxia but is not the primary cause of falling SpO₂.
  • D. Nitrous oxide itself is not toxic at clinical concentrations; diffusion hypoxia is prevented with 100% O₂ at the end.

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