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second case of the day is a revision of ankle screws. 20-something year old ASA I going in for her third revision. attending wants to do a popliteal block but the patient says no, her post-op pain has never been that bad and she is afraid of needles. surgeons estimate an hour. resident and i are thinking LMA, propofol. we get into the room and our attending says why don't we just do a mask induction and bag her. huh? okay. sevo. fentanyl. he said it was a learning exercise for us. i figured i have to do a week of peds coming up so this would be a good trial run for me. had the sevo high + nitrous to induce her and kept both for the whole case. she did pretty well, a little tachycardic toward the end which made us push a little more fentanyl that was probably ideal. anyways, almost three hours of bagging her later she wakes up...kind of.... she was disoriented for sure so probably a little hypercarbic...? anyways, thought it was a weird approach so i thought i would share....