68 yo M, 110 kg, BMI: 36
PMH: HTN, OSA, COPD (smoker), DMII, renal failure w/ dialysis 3x/week. Also a history of myasthenia gravis that has required multiple instances of post op mech vent. Echo looks good, normal EKG, stable cardiac profile.

Pt in for cadaveric renal transplant, stable presentation, recently dialyzed so labs are as good as they are gonna get.
Surgeon is familiar w/ pt, states 'any muscle relaxant will leave the tube in place for DAYS!!!!' (surgeon is very competent, but heavy on the drama).

How would you guys induce? Maintain? Did this case late last night, went well but interested to see how others would have approached this different situation.