Laparoscopic Splenectomy for ITP with Type 1 Diabetes

You are the anaesthetist rostered to the pre-admission clinic at a metropolitan teaching hospital. The next patient to be seen is a 46-year-old woman booked for a laparoscopic splenectomy for severe, chronic immune thrombocytopenic purpura (ITP). Medical History Type 1 diabetes mellitus Immune thrombocytopenic purpura Medications Insulin pump 60 units Novorapid by subcutaneous infusion every 24 hours Prednisolone 25 mg once daily Rituximab 100 mg IV weekly (completed 1 week prior) Observations Weight 85 kg, Height 161 cm, BMI 33 kg/m2 Surgery is planned in one week's time, and you will be the anaesthetist for this list.