WatchmanEPmisc: Difference between revisions
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last updated | last updated 9/5/24 ac/jc/zr | ||
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. | ||
< | ''---workflow change <s>4/1/24</s> 8/26/24---'' | ||
Set fluoro to 10p/s, Card Alt. 2 x RFV access. Please make sure to separate the wires by 10mm. | |||
If DrySeal: 8F RFV, preclose, upsize to Dryseal, 230cm VersaCross thru Dryseal, upsize VersaCross to fixed Watchman sheath | |||
-1x 1L bag of saline with 2000 units of heparin, premade in pyxis (manifold saline) | If TrueSteer: 8F RFV, preclose, upsize to 230cm VersaCross, cross septum, upsize to TrueSteer | ||
Either way, drop 10F 30cm Check-Flo for Philips VeriSight Pro ICE Catheter. As of 9/5/24 we're working on attaching a 10F Mullins or SL0/SL1 to VNC which we'd upsize to from Check-Flo for a second transeptal puncture for ICE. 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> | |||
-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 | -Lido w/ Epi | ||
'''<big>Pull | -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 | |||
'''<big>Pull list</big>''' | |||
''--temporary/new 8/26/24 --'' | |||
''--check with MD whether to drop16f DrySeal OR TrueSteer (dropped by rep - deflectable watchman delivery sheath),'' | |||
''--10f 30cm checkflo, Verisight ICE, ice sleeve, a second perclose for the ice sheath (postclose)'' | |||
--0.0 silk + needle driver only if using DrySeal | |||
- | -6fr Straight Pig | ||
-Contrast Spike (ref 90400039) | -Contrast Spike (ref 90400039) | ||
| Line 21: | Line 60: | ||
-3 Port Manifold (ref 63160612) | -3 Port Manifold (ref 63160612) | ||
''' | '''-'''Long Versacross kit (230cm) (ref VXSK0032) | ||
'''-''' | '''-'''Perclose (1 if Woods only, 2 for Spies) | ||
-3cc syringe for ACT | |||
-EP Pack | -EP Pack | ||
Revision as of 21:07, 5 September 2024
last updated 9/5/24 ac/jc/zr
While the Cath Lab's Watchman Page provides the majority of what you need, this page has some additional info.
---workflow change 4/1/24 8/26/24---
Set fluoro to 10p/s, Card Alt. 2 x RFV access. Please make sure to separate the wires by 10mm.
If DrySeal: 8F RFV, preclose, upsize to Dryseal, 230cm VersaCross thru Dryseal, upsize VersaCross to fixed Watchman sheath
If TrueSteer: 8F RFV, preclose, upsize to 230cm VersaCross, cross septum, upsize to TrueSteer
Either way, drop 10F 30cm Check-Flo for Philips VeriSight Pro ICE Catheter. As of 9/5/24 we're working on attaching a 10F Mullins or SL0/SL1 to VNC which we'd upsize to from Check-Flo for a second transeptal puncture for ICE. 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 8/26/24 --
--check with MD whether to drop16f DrySeal OR TrueSteer (dropped by rep - deflectable watchman delivery sheath),
--10f 30cm checkflo, Verisight ICE, ice sleeve, a second perclose for the ice sheath (postclose)
--0.0 silk + needle driver only if using DrySeal
-6fr Straight Pig
-Contrast Spike (ref 90400039)
-3 Port Manifold (ref 63160612)
-Long Versacross kit (230cm) (ref VXSK0032)
-Perclose (1 if Woods only, 2 for Spies)
-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
