You have been called to operating theatre while on duty as anaesthesitst. Your patient is sixty-five-year-old man with normal body constitution. He suffered acute MI 5 years ago and is treated for DM type II and hypertension. He has no allergies. Today he has been brought to the hospital vomiting, with severe colicky abdominal pain and significantly distended abdomen. Surgeon has indicated revision of abdomen for suspected strangulation ileus. What will be your approach to induction of the GA and airways management?
The physical examination has been performed. The patient has been treated for hypertension for 20 years. He was diagnosed with type II DM in 2007 and suffered acute MI 5 years ago. He medicates Metformin 800 mg PO TDS and Betaloc 100 mg PO OD.
