• Consider anaesthetising the patient in the operating theatre
• Self positioning on operating table
• Consider siting 2 IV cannulae
• Consider central regional anaesthesia, although a plan for airway management is mandatory
• Plan for airway & rescue management
• Preoxygenate and induce in the ramped position (consider nasal cannula 15L/min)
• Minimise induction to ventilation interval to avoid desaturation
• Consider intubation dose of rocuronium, see section below Pharmacokinetic principles of anaesthetic agents – What dose should I use (with calculated dose of sugammadex reversal readily available) vs. suxamethonium
• Avoid spontaneous ventilation
• Tracheal intubation recommended
• Use short-acting agents e.g. desflurane, propofol TCI
• Short-acting opioids
• PONV prophylaxis
• Multimodal analgesia
• Monitor neuromuscular block and ensure full reversal. Consider sugammadex
• Extubate and recover in head up position (45 degrees)