An adult patient refuses a regional block for an examination…

An adult patient refuses a regional block for an examination under anesthesia and exploration of a complex laceration to the left lower leg.  Following induction, the surgeon examines the laceration and states, “this is a deep wound.  The bone is involved.  This is going to require a lot of work and it’s going to be painful post-op.  Please put a block in her before she wakes up.”  With this new information you decide to place a regional block to minimize post-operative opioid use.  Which of the following is correct?  

During a 3-hour anesthetic, a patient received 50% oxygen, 5…

During a 3-hour anesthetic, a patient received 50% oxygen, 50% nitrous oxide, and 2% sevoflurane. The case concluded at 0815. The patient was extubated at 0817 and placed on oxygen 2 liters/minute via nasal cannula. The patient is transferred from the OR table to a transport stretcher 0819.  The SaO2 is now 77%. Which concept explains a potential reason for this finding?