Globe Trial

From Bay Area Structural Heart Wiki

General:

-Consent - Electrophysiology Study with Catheter Ablation

-Patient intubated/paralyzed (long acting) throughout procedure

-No foley

-Antibiotics per woods protocol (only w/device, implants etc.)

-Fluoro

-ACT must be > 300 prior to (catheter insertion? confirm w/md)


From Pyxis:

-no protamine to start, but ask near end of case.

-famotidine

-lidocaine/bupivicaine

- (2x) heparin vials (10,000 u/10mL)

- (1x) heparin premixed (25,000/250mL)


Bags:

-500mL NS for ACT line

-1L LR anesthesia

-(2x) 1L NS with 5000u heparin for the table

-(1x) 1L NS with 5000u heparin for LA lines (spike twice - yellow & red)


Lines:

-ACT

-Blue (heparin drip)

-Red (100 mL/hr)

-Yellow (100mL/hr)


Sheaths:

8F pinnacle (RFV - preclose x2 + transeptal w/230cm VC sheath + dilate w/Coonz + + upsize to globe introducer - globe)

8f locking sheath (LFV - duodeca) vascade to close

10.5 fastcath (LFV - ice) vascade to close




Equipment droplist:

2 scrub tables - each with an EP pack. One table will be for the device + introducer prep, the other for draping/access/transeptal/etc.

Rampart + Radpad

2x yellow filters

10f acunav (non-soundstar)

Livewire Duodeca (no cable needed)

long versacross kit - 230cm pigwire

2x percloses (orthogonal preclose - 10&2)

Coonz Dilator (20f short from cart in sterile core)

Light handle cover




2x Ice sleeve (1 for ice, 1 for duo deca which connects to Kardium's nonsterile proprietary CS cable)

2x Access sleeve (tte/linear)

ACT line

2x pressure lines (possibly 3? to extend ACT far enough)

Ioban

8F pinnacle

8f locking sheath

10.5 fastcath

3x 50cc syringe

driver/0pds/stopcock for woggle

chloraprep

vascade x2

last updated 12/19/23 zr/ac