Look for direction in finding alternative options for surgery on patient deemed too high risk for general anaesthesia.
62-year-old woman with advanced secondary progressive multiple sclerosis and dementia. She has been identified as having a 7cm mass in her bladder (currently unidentified due to doctors refusing to perform biopsy because it requires general anaesthesia). At the moment the mass is contained within her bladder (non-muscle invasive) but this could obviously change.
Her physicians have refused Transurethral Resection Surgery to remove the mass based on the risks of General Anaesthesia and the possibility of jerking during the surgery. There is of course the risk of conversion to an open procedure and the increased length of time there-in that she would need to be under.
Seeking medical practitioners guidance on potential alternative treatment, particularly with regards to Anaesthesia and M.S, I am seeking any and all anaesthetic options that you may be able to recommend as an alternative to general anaesthesia which would be suitable for the purpose of seriously mitigating the risks and being able to conduct the surgery.