Intra-op MI

Had my first (and hopefully last) one of these today. Pt. was in for p*****-implant. My MDA and CRNA had been gone awhile since induction, succ had long worn off, no real need for non-depolarizers in this case. All was going well until.... Pt. bucked one time, very little, I had about 5.8% ET Des going, plus about 7 cc fentanyl on board. I turned up the gas to settle him back down, looked at my monitor to see if we had HR increase, then saw his ST segments starting to rise, then saw ET CO2 start to plummet, BP followed soon after. CRNA and MDA back in the room within 30 seconds. Too far along to abort the case, surgeon had to finish while we started a-line, worked on BP, etc... Pt. to the cath lab with a 98% proximal RCA lesion. Seems to be doing ok now, on IABP in CVICU. Had normal stress test 2 months ago.

Anyone else have this happen?????

Lot-o-learnin today!!!!