So... first case tomorrow is a colonoscope. No problem, right. Uh Uh. 59y old female patient, otherwise well. 2x previous GA for open chole and a hysterectomy. Both occasions had what sounds like bronchospasm post op. Now absolutely terrified of anesthesia.... Point blank refuses to be sedated for the scope (I do fairly heavy sedation with Midaz 1-2mg, propofol and alfentanil titration against response) She has previously had a spinal for a pyelogram, thinks spinal is the best thing since sliced cheese, and is demanding a spinal for her scope. I should mention that this is a day care facility, which looks a lot like closing at around 14h00, and the surgeon is **** hot, takes 10-11min for a full colonoscope. Thoughts? I have concerns. 1. Can't guarantee that spinal will cover peritoneal afferents for the insufflation. 2. Prolonged weakness in a day care facility - basically she has to be street ready in <5hrs. 3. Should I subject her to the risks of a spinal on her demand? I wasn't planning to go anywhere near the airway anyway, so should I try harder to convince her to have her (un)conscious sedation? Would love to have some opinions... Anyone with any experience in spinals for C-scope?