A 67-year-old with long-standing hypertension on lisinopril,…

A 67-year-old with long-standing hypertension on lisinopril, metoprolol, and amlodipine is scheduled for elective bowel resection. Preoperative BP today is 178/96, HR 76. EKG shows left ventricular hypertrophy with left axis deviation. In reviewing the patient’s chart you see the blood pressure is consistently 160s/85s. Which anesthetic plan is most appropriate?