,DESCRIPTION OF PROCEDURE:  After thorough preoperative evaluation, the patient was brought to the operating room and placed on the operating table in supine position and after placement of upper extremity IV access and radial A-line, general endotracheal anesthesia was induced. 
,DESCRIPTION OF PROCEDURE : After thorough preoperative evaluation , the patient was brought to the operating room and placed on the operating table in supine position and after placement of upper extremity IV access and radial A - line , general endotracheal anesthesia was induced .