A 30-year-old transgender woman presented to the operating room for a laparoscopic appendectomy. She weighed 91 kg, and had eight previous surgeries under general anesthesia—all related to sex reassignment surgery without any complications, per the patient’s report. All past surgeries were performed at a different institution. The patient was HIV-positive and had a history of bronchial asthma. At presentation,
OCTOBER 29, 2021