Sarcoma Excision with Cardiovascular Disease

You are seeing a 72-year-old man in the preanaesthesia clinic of your tertiary hospital. He is booked for a wide local excision of a sarcoma of the right latissimus dorsi muscle in ten days time. The surgeon requests that he is positioned in the left lateral decubitus position. The surgery is anticipated to take two to three hours. Past medical history Coronary artery stent Type 2 diabetes mellitus Hypertension Transient ischaemic attack two years ago Medications Clopidogrel 75 mg daily Metformin 500 mg twice daily Perindopril 8 mg daily Rosuvastatin 20 mg daily Observations performed in clinic Blood pressure 165/95 mmHg Heart rate 85 bpm SpO2 98% on room air Random blood glucose 8.5 mmol/L Height 1.78m Weight 95 kg BMI 30