Volt: Difference between revisions

From Bay Area Structural Heart Wiki
(Created page with "General: -Consent - Electrophysiology Study with Catheter Ablation -Patient intubated/short term paralysis only as we extensively pace for phrenic capture throughout the case. -Anesthesiologist will pre-treat with glycopyrrolate (unclear on dosage) -No foley -Antibiotics per woods protocol (only w/device, implants etc.) -Fluoro -ACT >= 300 -All patients must be admitted for overnight stay (trial rules) From Pyxis: -protamine -famotidine - (2x) heparin vials...")
 
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General:
'''General:'''


-Consent - Electrophysiology Study with Catheter Ablation
-Consent - Electrophysiology Study with Catheter Ablation
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From Pyxis:
 
'''From Pyxis:'''


-protamine
-protamine
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Bags:
 
'''Bags:'''


-500mL NS for ACT line
-500mL NS for ACT line
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-1L LR anesthesia
-1L LR anesthesia


-(3x) 500mL NS with 5000u heparin: 2 for table, 1 for red line
-(3x) 500mL NS with 5000u heparin: 1 for table, 1 for red line, 1 for yellow line
 








Lines:
'''Lines:'''


-ACT
-ACT


-Blue (heparin drip)
-Blue (heparin drip -on pump/to agilis)


-Red (120 mL/hr)
-Red (120 mL/hr - to grid)


-Yellow (120mL/hr - to volt central lumen)






Sheaths: tentative changes for thursady June 20:
 
 
 
'''Sheaths:''' tentative changes for thursady June 20:


8F pinnacle (RFV - preclose x1 + agilis + long(98cm) BRK ----> grid map, prep volt catheter while grid mapping)
8F pinnacle (RFV - preclose x1 + agilis + long(98cm) BRK ----> grid map, prep volt catheter while grid mapping)
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Equipment droplist:
 
'''Equipment droplist:'''


EP pack
EP pack
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Rampart + Radpad
Rampart + Radpad


2x yellow filters
3x yellow filters
 
Alligator clips ("threshold cable")


10f acunav (non-soundstar)
10f acunav (non-soundstar)


Livewire Duodeca (no cable needed)
Livewire Duodeca + Cable
 
Grid + Cable


98cm Baylis needle + baylis cable
98cm Baylis needle + baylis cable


1x perclose for preclose
1x perclose for preclose
Light handle cover


Abbott mapping patches
Abbott mapping patches


Contrast (spike if multiple VOLT cases for the day - only need 1cc per case)
Contrast (spike if multiple VOLT cases for the day - only need 1cc per case)




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ACT line
ACT line


2x pressure lines (blue/red)
3x pressure lines (blue/red/yellow)


Ioban
Ioban
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Amplatz .035 180 J
Amplatz .035 180 J


created 6/13/24 ac/zr
created 6/13/24 ac/zr

Latest revision as of 20:32, 26 August 2024

General:

-Consent - Electrophysiology Study with Catheter Ablation

-Patient intubated/short term paralysis only as we extensively pace for phrenic capture throughout the case.

-Anesthesiologist will pre-treat with glycopyrrolate (unclear on dosage)

-No foley

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

-Fluoro

-ACT >= 300

-All patients must be admitted for overnight stay (trial rules)


From Pyxis:

-protamine

-famotidine

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

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


Bags:

-500mL NS for ACT line

-1L LR anesthesia

-(3x) 500mL NS with 5000u heparin: 1 for table, 1 for red line, 1 for yellow line



Lines:

-ACT

-Blue (heparin drip -on pump/to agilis)

-Red (120 mL/hr - to grid)

-Yellow (120mL/hr - to volt central lumen)




Sheaths: tentative changes for thursady June 20:

8F pinnacle (RFV - preclose x1 + agilis + long(98cm) BRK ----> grid map, prep volt catheter while grid mapping)

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

10.5 fastcath (RFV - ice) vascade to close



Equipment droplist:

EP pack

Rampart + Radpad

3x yellow filters

Alligator clips ("threshold cable")

10f acunav (non-soundstar)

Livewire Duodeca + Cable

Grid + Cable

98cm Baylis needle + baylis cable

1x perclose for preclose

Abbott mapping patches

Contrast (spike if multiple VOLT cases for the day - only need 1cc per case)



1x Ice sleeve

2x Access sleeve (tte/linear)

ACT line

3x pressure lines (blue/red/yellow)

Ioban

8F pinnacle

8f locking sheath

10.5 fastcath

1x 50cc syringe

chloraprep

vascade x2

Amplatz .035 180 J


created 6/13/24 ac/zr