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[jafo1964]

Hi all

Have a 65 year old lady posted for fractional curettage and proceed
She is a case of CML, treated and now in remission and is currently on on IMATINIB MESYLATE ( Gleevec)

THe side effects of this drug is quite exhaustive
This pt has an Effort tolerance < 4 METS and is a diabetic with reasonable control

Her history related to coagulation, renal and hepatic function is largely insignificant

Surgery may last 30 mins
I am planning to slip in a LMA under Propofol and Fentanyl
and maintain her under Spontaneous Ventilation with Sevoflurane

Any advices on how to do it better
Any areas i need to focus on

regs

[yogenbhatt1]

HI,
Got a good one. Love these  challengers.
Since the case is too small, not much to worry about. But given a choice I would still use only Sevo with Gases, a touch of 30 mic Fent may be. Propofol, only if very apprehensive, in low dose, just about 30mg as a hypnotic, but not as a main inducing agent. May or may not insert an LMA depending upon the speed of the surgeon.
But, I am sure, you must have done the case by now. Do let the group know how you managed.
Have always respected your judgement.
Regards.