 Induction will commence after the initiation of the infusion and will be identical for both groups: Midazolam 2mg IV, Fentanyl 1-2 microgramskg, Lidocaine 1mgkg, and Propofol 1.5 to 2 mgkg. Following induction an appropriately sized Laryngeal Mask Airway LMA will be placed. A second intravenous line preferably 18Gauge or larger will be placed in the opposite upper extremity to collect blood samples. Prior to sampling a waste of 10milliLiters will be withdrawn and later returned to the patient. Anesthesia will be maintained with isoflurane at a Minimum Alveolar Concentration of 0.8 to 1.2. Mean arterial pressures that exceeds 130mmHg or 30 above baseline or heart rateHRs 110 bpm will first be treated with additional doses of Fentanyl every two minutes for a total dose of 5mcgkg. If there is no response following the total dose of Fentanyl then within two minutes further treatment with Labetalol consisting of titrated doses starting at 5mg IV. Rescue doses of Hydralazine up to 20mg are allowed to treat hypertension not responsive to Fentanyl and Labetalol 