How would you initiate her care and what monitoring would you use?

This is what we did:

We discussed with the patient the following anesthetic options: regional anesthesia with MAC, general anesthesia with regional anesthesia, general anesthesia alone.  The patient preferred to proceed with the same anesthetic technique she had received with her prior surgery: regional anesthesia with MAC.  We planned on using standard ASA monitors during induction, maintenance, and emergence from anesthesia.