Patient with cardiac disease for noncardiac surgery
A 62-year old male out-patient with pharyngeal tumor is scheduled for extensive surgical biopsies under general anesthesia. A previous cardiac catheterization revealed significant double vessel disease. An anesthetic was administered two weeks ago without complication. Now he presents with a new finding of a hemoglobin of 7gm/dl and complains of intermittent dizziness.
1. Will you anesthetize this patient? Why or why not?
2. The surgeon wants to proceed. What will you do?