Spinal Versus General Anesthesia With Popliteal and Adductor Canal Blocks for Ambulatory Foot and Ankle Surgery.

Exclusion Criteria

• •Incapable of providing informed consent
• •Contraindications for regional or LMA anesthesia (anticoagulation, infection at injection site)
• •Anticipated difficult airway
• •BMI\>40
• •Anticipated surgical procedure time less than 1 hour or more than 3 hours
• •Hx of severe postoperative nausea and vomiting
• •ASA \>3
• •Peripheral neuropathy affecting the operative extremity
• •Pregnant or nursing women
• •Chronic opioid use (daily use of opioids one month prior to surgery/ patients requiring chronic pain interventions)
• •Prone position
• •Obstructive sleep apnea with planned admission overnight to the hospital
• •Known allergy/sensitivity to any study medications
• •Planned admission after surgery
• •Non-English speaking