Goyal Farapulse
General: Goyal wants to be flexible btw BW/Abbott and droplist will adjust depending on vendor.
-Consent - Electrophysiology Study with Catheter Ablation
-Patient intubated/paralyzed (long acting) throughout procedure
-No foley
-No isuprel
-Antibiotics per woods protocol (only w/device, implants etc.)
-Fluoro
-Goal ACT>300
CardioLab 12 Leads (lab 5), or Claris 12 lead / MacLab 5 lead (lab 4), Anesthesia leads
-1 Grounds, Abbott patches, regular defib pad
From Pyxis:
-Case by case basis for protamine
-No famotidine
-bupivicaine
- (2x) heparin vials (10,000 u/10mL)
- (1x) heparin premixed (25,000/250mL)
- for typical AFL PFA: Nitro - 250ml bottle of 200mcg/ml
Bags:
-500mL NS for ACT line
-1L LR anesthesia
-(1x) 500mL NS with 5000u heparin for the table
-(2x) 500mL NS with 5000u heparin for red/yellow lines
-(1x prepulled from pyxis 25,000u heparin/250mL NS) heparin drip for blue line
Lines:
-ACT
-Blue (heparin drip)
-Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr)
-Yellow (Farapulse - Heparin 5000u/500mL NS pressure bag, on pump at 50cc/hr)
Charting ablation in Cupid:
System used - freetext Farapulse
Energy - freetext PFA
Number of energy applications - # per Ablation site
Drop List: Sheaths:
8f locking sheath (LiveWire DuoDeca) (Most cranial RFV stick)
10F pinnacle (ICE) (middle of 3 RFV sticks)
8f pinnacle (Most caudal RFV stick) (---> Preclose ----> SL1 + Baylis 71cm ---> Map with Grid -----> Remove Grid/Upsize to Faradrive ----> Ablate with Farawave)
Rampart + Radpad
3x yellow filters
10f Acunav (non-soundstar) (middle of 3 RFV sticks)
1x Perclose
DuoDeca + Cable (most cranial stick)
Grid + Cable
Light handle cover
Alligator Clips
SL1 (behind lab 4) /Baylis 71cm (from lab5)
1x Ice Sleeve
1x Access sleeve
ACT line
1x pressure transducer tubing set (label blue)
2x pressure line extensions (label red/yellow)
Ioban
8F pinnacle
8f locking sheath
10.5f fastcath
ask - driver/0pds/stopcock for woggle if no protamine
chloraprep
Baylis Cable
vascade x2
Rosen wire w/1.5mmJ
created 9/30/24 zr
