53 yo male presents for distal biceps tendon repair.
Injured 2 weeks ago while artwork lifting a tree branch.

PMH: S/p inf wall MI 5 weeks ago...had BMS to LAD. Also had 2 DES placed 10 days ago after follow up angio revealed further dz in RCA.

Patient reports substernal CP and dyspnea with initial event. No return of angina or anginal equivalents.

Meds: ASA, Plavix, Statin, metoprolol

You have note on chart from cardiologist stating patient may undergo surgery for biceps repair. Patient was seen day after DES placed by cards. Patient had torn biceps in few days preceding his second PCI.

SRNA's...what say you?

And plz CRNAs, let the students start first.