First case of the day L TKA on 74 yo M 112kg with PMH of mod AS valve area 1.4. Multiple stents placed a few years ago. EKG shows RVH with pt in afib. Recent cath shows normal LV function with PA pressures 73/34

Easy airway. No teeth, TM>6 MP 1

Pt has stopped blood thinners 5 days ago. Was not on Coumadin due to allergy.

Pt states he gets easily SOB with any exertion. METS < 4 for sure. Gets CP on exertion as well and says it goes away on its own.

SRNAs first! What are your preop, intraop plans for this patient. If you are concerned with anything, why and what do you plan on doing about it???

Sent from my iPhone using GasTalk