High-risk Localized Prostate Cancer in Surgery — 70yo Man | General Surgery | SMLE Q#11779
SMLE Question #11779
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 70-year-old man with high-risk localized prostate cancer is scheduled for elective robotic radical prostatectomy under general anesthesia. History includes long-standing hypertension and ischemic stroke 2 years ago without residual deficits. He has been on long-term oral anticoagulation, which was stopped 5 days before surgery after specialist consultation. In the preoperative holding area, the team begins the surgical safety checklist, but the surgeon is pushing to proceed quickly due to operating room time pressure. What is the most appropriate action to enhance perioperative safety?
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