You are providing anesthesia for an EGD with variceal bandin…

You are providing anesthesia for an EGD with variceal banding in a patient with actively bleeding esophageal varices. Vital signs: HR 122, BP 88/54, SpO2 94% on room air. Hemoglobin is 5.9, and the patient is intermittently vomiting blood. What is the most appropriate anesthetic plan?

Two minutes after Veress needle insertion and the start of i…

Two minutes after Veress needle insertion and the start of insufflation, BP falls to 70/40, SpO₂ drops to 85%, and EtCO₂ falls from 38 to 12 mmHg. Breath sounds are equal bilaterally with normal peak airway pressures, and there is no crepitus. After calling for help, which sequence is most appropriate?