What is the likely problem indicated by a general anesthetic case with a PAO2 of 60 and an ETCO2 of 33?

In a general anesthetic case with a partial pressure of oxygen in arterial blood (PAO2) of 60 mmHg and an end-tidal carbon dioxide (ETCO2) of 33 mmHg, the observed values can indicate specific physiological conditions.

A PAO2 of 60 mmHg suggests significant hypoxemia, as normal arterial oxygen levels are generally between 75 to 100 mmHg in a healthy individual breathing room air at sea level. This level indicates that the patient could be experiencing significant oxygen deprivation, which could be associated with a number of respiratory issues.

The ETCO2 value of 33 mmHg, on the other hand, indicates a state of lower-than-normal carbon dioxide levels in the exhaled air. This can occur due to increased ventilation, where CO2 is being expelled more rapidly than it is being produced by the metabolism of tissues—often seen in conditions of hyperventilation.

The possibility of endobronchial intubation arises when the endotracheal tube is incorrectly placed in one of the bronchi instead of the trachea. This misplacement can lead to inadequate ventilation of the non-intubated lung and possible hypoxia, as the patient is effectively only ventilating