Hongo SVT

SVT

SVT
Anesthesia	Imaging	Access	Pre-Procedure
Usually MAC to start	US, Fluoro, Carto, Possibly ICE	Femoral Vein x2

Generally, Dr. Hongo's SVT's start conservatively, ie 2x8f and a CS for diagnosis. His notes tend to offer more information about the arrhythmia than Dr. Hao's, which can inform your drop list. The following is a basic list that could be expanded upon depending on the specific procedure.

Shopping List

Foot of Table

• (1) SMALL DEFIB PAD SET
• (2) GROUND PATCHES
• (2) SETS OF CARTO PATCHES
• (4) SLEEVES OF EKG DOTS
• (3) CHLORAPREP STICKS

Open onto sterile table

• (2) 8F PINNACLE
• (1) ACT/ISO TUBING
• (1) IOBAN 35X35
• (1) US SLEEVE
• (1) RAD-PAD
• (1) 34-12 CS CABLE

Standby

• (1) BSW DECA D/F CATHETER
• (1) ST. JUDE JSN
• It's a good idea to have equipment standing by for any diagnosis, ie 4mmF/SR0 for avnrt, transeptal equipment for left sided AT/AVRT, etc. This may vary depending on suspected diagnosis. Typically, you can refer to Dr. Hongo's note in Epic for information on the arrhythmia.

Procedure

• PLACE PATCHES (hyperlink to diagram: front(incl subXiph window)/back, variant if patient has device)
• SEDATE FOR ACCESS (offer assistance to anesthesiologist as needed)
• PREP/DRAPE (details here - scrub and circulator)
• ACCESS (sheath placement details)
• PLACE CS (details)
• PACE/DIAGNOSE:
• MAP
• ABLATE (details)
• ISUPREL TEST (usually)

APPROVED: MD initials MM/YY