Here here. Watch for sugammadex and what doses they recommend. First 2mg/kg, then 8mg/kg, and now studies of 16-32mg/kg are carried out!

Dear colleague,

With regards to your case above, the lady probably did suffer from a post op SURGICAL problem. It could be lugwig's angina (oedema of the pharyngeal fascia coat) or any of the paralaryngeal structure oedema. Tell the surgeons to keep their comments to themselves as they may encounter similar litigation problems themselves. Telling the patient's family it is our fault is seriously undermining professional relationships and you may want to reconsider ever anaesthetising for him.

Just did one the other day. Surgeon didn't take an hour. If you have a slow surgeon, I strongly suggest GA. Otherwise I just use midazolam plus tuts of alfentamil for the stimulating bits -- i.e. local infiltration and pressure in the ear.