Multi-Trauma with End-Stage Renal Failure

You are the on-call anaesthetist attending a trauma call in a major trauma centre. A 30-year-old male driver was brought to the hospital by paramedics after a high-speed collision with a tree. A laryngeal mask airway was inserted en route due a fall in his level of consciousness. There is extensive bruising over his right chest and a prominent seatbelt sign. He has polycystic kidney disease and attends the hospital for regular haemodialysis through an arteriovenous (AV) fistula in his left arm. He is otherwise well and has no known allergies.