This case takes place in Missouri and involves a female with arthritis in her left knee that was greatly reducing her mobility. She previously underwent radiofrequency ablation, but it was unsuccessful in managing her pain. The patient was admitted and prepped for surgery, however, the patient remained conscious after the initial administration of anesthesia. She was then administered a second round of anesthesia, was found to be unconscious, and the procedure was initiated. During the procedure the anesthesiolgist realized the patient was not breathing, and attempted to intubate her unsuccessfully. The patient eventually was found to be in cardiac arrest, and chest compressions were performed in the OR. As a result of this experience the patient suffers from permanent cognitive impairment.
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