Aveir: Difference between revisions
(Created page with "RN: -2x 1L bags NS with 2000u heparin per liter bag. One bag on gravity (these 2 lines will be labeled A/B), one on pressure (these 2 lines will be labeled C/D). 4x non pump tubings (2 per bag) labeled as listed above, spiked and primed. Optionally, if you want to clear the air from the gravity (A/B) lines faster, you can put it on pressure to flush, then immediately come off pressure after they're flushed, as gravity is required per protocol. -double label each line -...") |
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RN: | '''<big>RN:</big>''' | ||
-2x 1L bags NS with 2000u heparin per liter bag. | |||
-For single chamber Aveir, 2x 1L bags NS with 2000u heparin per liter bag, double spiked. | |||
-For dual chamber Aveir, 4x 1L bags NS with 2000u heparin per liter bag, single spiked. | |||
-Whether 2 or 4 bags, the lines labeled A/B will be on gravity, and the lines labeled C/D will be on pressure. 4x non pump tubings (2 per bag) labeled as listed above, spiked and primed. Optionally, if you want to clear the air from the gravity (A/B) lines faster, you can put it on pressure to flush, then come off pressure after they're flushed, as they need to be on gravity during the case per protocol. | |||
-double label each line - one on roller clamp and one on the end where you attach to the extension. | -double label each line - one on roller clamp and one on the end where you attach to the extension. | ||
| Line 6: | Line 11: | ||
-MD will verbalize when to flush and when to set to 1 drop per second (via roller clamp.) | -MD will verbalize when to flush and when to set to 1 drop per second (via roller clamp.) | ||
-1L heparinized saline on the scrub table | -1L heparinized saline (10,000u heparin) on the scrub table | ||
-50cc omnipaque or visipaque if indicated (can be cut to ~50/50) | |||
-lidocaine/bupivicaine | |||
'''<big>Tech:</big>''' | |||
- | -All Romick Aveirs: drop a 6f pinnacle & 6f angled pigtail. | ||
- | -All RA Hongo Aveirs get a 6f angled pigtail + a 3way stopcock, but as of 6/26/24 he wants to put the pig into the Aveir introducer so that we only start with a single 8f access. Some RV Hongo Aveirs will use an angled pig as well, check before dropping. | ||
-4x pressure tubing (labeled A, B, C, D) | -4x pressure tubing (labeled A, B, C, D) | ||
-50-60cc syringe | -50-60cc syringe x2 | ||
-8fr pinnacle (or 8f dilator) | |||
-7cm floppy tip 180cm .035" amplatz super stiff | |||
-dilator 20f coons (altternatives: Endovascular Dilator Set (20 or 22), cook short dilators. Aveir sheath is 27f.) | |||
-0.0 PDS + needle driver. (4/26 Dr. Hongo mentioned possibly wanting to try 2x preclose vs. z stitch, check with MD) | |||
-radpad | |||
-rampart cover | |||
-ioban | |||
-access cover x2 (tee/linear) | |||
-light handle cover | |||
-possible additional 8f acunav, ice sleeve, 8f pinnacle (check w/MD) | |||
created 03/29/23 zr | |||
Latest revision as of 22:16, 27 July 2024
RN:
-For single chamber Aveir, 2x 1L bags NS with 2000u heparin per liter bag, double spiked.
-For dual chamber Aveir, 4x 1L bags NS with 2000u heparin per liter bag, single spiked.
-Whether 2 or 4 bags, the lines labeled A/B will be on gravity, and the lines labeled C/D will be on pressure. 4x non pump tubings (2 per bag) labeled as listed above, spiked and primed. Optionally, if you want to clear the air from the gravity (A/B) lines faster, you can put it on pressure to flush, then come off pressure after they're flushed, as they need to be on gravity during the case per protocol.
-double label each line - one on roller clamp and one on the end where you attach to the extension.
-MD will verbalize when to flush and when to set to 1 drop per second (via roller clamp.)
-1L heparinized saline (10,000u heparin) on the scrub table
-50cc omnipaque or visipaque if indicated (can be cut to ~50/50)
-lidocaine/bupivicaine
Tech:
-All Romick Aveirs: drop a 6f pinnacle & 6f angled pigtail.
-All RA Hongo Aveirs get a 6f angled pigtail + a 3way stopcock, but as of 6/26/24 he wants to put the pig into the Aveir introducer so that we only start with a single 8f access. Some RV Hongo Aveirs will use an angled pig as well, check before dropping.
-4x pressure tubing (labeled A, B, C, D)
-50-60cc syringe x2
-8fr pinnacle (or 8f dilator)
-7cm floppy tip 180cm .035" amplatz super stiff
-dilator 20f coons (altternatives: Endovascular Dilator Set (20 or 22), cook short dilators. Aveir sheath is 27f.)
-0.0 PDS + needle driver. (4/26 Dr. Hongo mentioned possibly wanting to try 2x preclose vs. z stitch, check with MD)
-radpad
-rampart cover
-ioban
-access cover x2 (tee/linear)
-light handle cover
-possible additional 8f acunav, ice sleeve, 8f pinnacle (check w/MD)
created 03/29/23 zr
