WatchmanEPmisc: Difference between revisions

From Bay Area Structural Heart Wiki
(cleanup ep watchman page)
(added temp workflow)
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While the [[Watchman|Cath Lab's Watchman Page]] provides the majority of what you need, this page has some additional info.   
While the [[Watchman|Cath Lab's Watchman Page]] provides the majority of what you need, this page has some additional info.   
''---temp workflow change 4/1/24---'' 
2 x RFV access. Please make sure to separate the wires by 10mm 
8F RFV ---> pre close Perclose ----> 16F 33cm Dryseal sheath ---> advance 230cm Baylis Versa Cross through 16F
10F 30cm Check-Flo for Philips VeriSight Pro ICE Catheter. Locate a catheter, ICE display connection cable+adapter (DP-DVI), and the cardboard box in the watchman cart for noninvasive prior to case


<big>'''RN:'''</big>   
<big>'''RN:'''</big>   
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-Tell PACU - shave groins + subxiphoid         
-Tell PACU - shave groins + subxiphoid         


'''<big>Pull list</big>'''   
'''<big>Pull list</big>'''
 
''--temporary/new 4/1/24: 16f dryseal, 10f 30cm checkflo--''   


-5fr Straight Pig (ref 534-550S)   
-5fr Straight Pig (ref 534-550S)   

Revision as of 19:45, 1 April 2024

last updated 11/16/23 zr/ac

While the Cath Lab's Watchman Page provides the majority of what you need, this page has some additional info.

---temp workflow change 4/1/24---

2 x RFV access. Please make sure to separate the wires by 10mm

8F RFV ---> pre close Perclose ----> 16F 33cm Dryseal sheath ---> advance 230cm Baylis Versa Cross through 16F

10F 30cm Check-Flo for Philips VeriSight Pro ICE Catheter. Locate a catheter, ICE display connection cable+adapter (DP-DVI), and the cardboard box in the watchman cart for noninvasive prior to case


RN:

-Large bottle of visipaque + contrast spike

-3x 500cc bags of normal saline with 5000 units of heparin per bag (2 for table, 1 for transducer)

-1x 1L bag of saline with 2000 units of heparin, premade in pyxis (manifold saline - on 1L pressure bag)

-Lido w/ Epi

-Check with PACU for pre-op - NS 500cc bolus, 4 chewable aspirins, precedex

-Labs day of: PT-INR, Type & Screen

-Labs within 30 days: CBC, BMP, EKG

-Tell Anesthesia - Ancef + General Anesthesia

-Tell PACU - shave groins + subxiphoid

Pull list

--temporary/new 4/1/24: 16f dryseal, 10f 30cm checkflo--

-5fr Straight Pig (ref 534-550S)

-Contrast Spike (ref 90400039)

-3 Port Manifold (ref 63160612)

-Long Versacross kit (230cm) (ref VXSK0032)

-Perclose

-3cc syringe for ACT

-EP Pack

-Micropuncture

-8F pinnacle (just for dilator)

-Ultrasound Cover

-Pressure Transducer w/Tubing

-RadPad

-Rampart Cover

-Light Handle Cover

-The CCL Watchman Page mentions use of a 150 J Cordis - but Dr. Woods has been loading the 5fr pigtail over the 230cm versacross pigtailwire directly as of 4/2023.

-exofin on standby

-Ioban

-Ground pad, defib, dots, sp02, bp cuff