Urgent Laparoscopic Anterior Resection with Recent Coronary Stent

You are the on-call anaesthetist at a private hospital. One of your regular colorectal surgeons has asked you to assess a 65-year-old man for an urgent laparoscopic high anterior resection for an obstructing tumour of his sigmoid colon. The surgeon would like to proceed later today and has booked an intensive care bed postoperatively in preparation. Past medical history: Hypertension Ischaemic heart disease – percutaneous coronary intervention (PCI) six months prior after an acute coronary syndrome (ACS). A drug-eluting stent was placed in the left anterior descending coronary artery. Most recent echocardiogram at time of stent insertion – unremarkable with no regional wall motion abnormalities. Medications: aspirin 100 mg daily atorvastatin 40 mg daily clopidogrel 75 mg daily oxycodone 5 mg PRN telmisartan 40 mg daily