Monitoring & CPR · NEET PG Preparation Anaesthesia

A 45-year-old male is undergoing general anesthesia. During mechanical ventilation, the end-tidal carbon dioxide (EtCO2) suddenly drops from 38 mmHg…

Practice question from Monitoring & CPR (NEET PG Preparation Anaesthesia), with the correct answer and a step-by-step solution.

medium · MCQ · Q-377E08

A 45-year-old male is undergoing general anesthesia. During mechanical ventilation, the end-tidal carbon dioxide (EtCO2) suddenly drops from 38 mmHg to 12 mmHg accompanied by a sudden drop in mean arterial pressure. Which of the following is the most likely cause?

  1. A.Bronchospasm
  2. B.Malicious hypothermia
  3. C.Massive pulmonary embolism or cardiac arrestCorrect answer
  4. D.Esophageal intubation

Solution

A sudden, drastic drop in EtCO2 to near zero or very low levels along with hemodynamic collapse strongly indicates a sudden loss of pulmonary perfusion, most commonly due to massive pulmonary embolism, air embolism, or cardiac arrest.

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