Students first, please.

79 year old, Hispanic gentleman.
PMH: moderate AS, EF 48%, HTN, colon cancer, resected with no ARCs. Booked for a laparoscopic, robotic assisted non-anatomic liver resection. Pre Ox. standard monitors, sivi. 8.0 ETT, radial Aline with good correlation with Nibp. Right IJ 4 lumen CVL. Prepped, draped and surgeon puts in first port. Starts insufflation.....ASYSTOLE. Aline tracing flattens out. Pulse ox wave form flattens out.....
Game on. GO!