Hi everyone, I'm a ciculator in the OR and I was hoping to run a situation I had recently past some anesthesia professionals. I was doing a case on a 3 or 4 kilo NICU kid with some chronic lung issues with an anesthesiologist who is fresh out of fellowship. She pushes the drugs, masks the kid with an oral and nasal airway in (he doesn't look like the easiest mask ever, but he's ventilating ok), and intubates. There's a little CO2 on the capnography and minimal chest rise. The kid's sat starts dropping quickly, and pretty soon he's down to 27. The anesthesia provider is ventilating and listening for lung sounds and his sat isn't coming up AT ALL. She stands there going, "I know I'm in, the tube is foggy....maybe I should try a bigger tube..." all while she continues to listen to his chest. I know you risk trauma to the airway with reintubating and all, but I was really starting to sweat. This tiny kid hovered around 27% for at least 45 seconds. I've assisted in dozens of high-risk pediatric inductions and I've never seen a seasoned anesthesia provider let a kid stay hypoxic that long. I realize that this doc has lots of training that I don't and I should probably give her the benefit of a doubt, but I feel like I need to advocate for my patient if a newbie is in over his or her head!