Capnograph says chill, pulse ox screams

Routine OHE at 07:15 with dexmedetomidine–methadone premed, propofol induction, isoflurane maintenance, and full monitoring (ETCO2, Doppler, SpO2, esophageal stethoscope). Everything was rock solid — ETCO2 36–40 mmHg, MAP 75–85 — while the pulse ox insisted on 38% and shrieked like a smoke alarm just because the tongue dried out; anyone else feel their equipment has a sixth sense for the moment you say “looks great”?

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But had the same thing on a 07:15 spay; if the tongue dries, I flip the pulse ox to the lip fold with a dab of sterile lube and it jumps from ‘38%’ to normal in seconds. With dexmedetomidine vasoconstriction, ear pinna or prepuce/vulva reads better, but if ETCO2 is 36–40 and MAP 75–85 I trust those while I relocate the probe.

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