On your morning vascular list today is a 78-year-old woman who has been scheduled for an elective carotid endarterectomy. She has been extensively reviewed in the preanaesthesia clinic. Her underlying cardiovascular disease is considered mild, stable and optimised. Her renal function is normal.
The patient has provided consent to receive either general anaesthesia or regional anaesthesia with conscious sedation. The surgeon has requested regional anaesthesia with conscious sedation.
Today's observations:
SpO2 – 97% (room air)
HR 80 bpm, regular
BP 160/90 mmHg
RR 14 breaths/min
Height 166 cm
Weight 88 kg
BMI 31.9 kg/m2