Woods Farapulse: Difference between revisions

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work in progress
last edited 9/5/24 zr/jc
 
 
 
General:
General:


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-Goal ACT>300
-Goal ACT>300


-McKesson leads, Anesthesia leads, Farapulse leads (slaved into Claris 12 lead by rep - though started using claris directly 5/2024)
-MacLab leads, Anesthesia leads, Claris 12 lead


-2 Grounds, Abbott patches, regular defib pad
-2 Grounds, Abbott patches, regular defib pad
Line 23: Line 26:
From Pyxis:
From Pyxis:


-protamine if patient is going home. no protamine if patient is staying. (5/7/24)
-Case by case basis for protamine


-famotidine - less esophageal risk? check before pulling.
-No famotidine


-bupivicaine
-bupivicaine
Line 32: Line 35:


- (1x) heparin premixed (25,000/250mL)
- (1x) heparin premixed (25,000/250mL)
- for typical AFL PFA: Nitro - 250ml bottle of 200mcg/ml




Line 44: Line 50:
-(1x) 500mL NS with 5000u heparin for the table
-(1x) 500mL NS with 5000u heparin for the table


-(1x) 500mL NS with 5000u heparin for red line
-(2x) 500mL NS with 5000u heparin for red/yellow lines


-(1x prepulled from pyxis) heparin drip for blue line
-(1x prepulled from pyxis 25,000u heparin/250mL NS) heparin drip for blue line


Lines:
Lines:
Line 54: Line 60:
-Blue (heparin drip)
-Blue (heparin drip)


-Red (pressure bag, no pump)
-Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr)
 
-Yellow (Farapulse - Heparin 5000u/500mL NS pressure bag, no pump)
 




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8F pinnacle (ICE)
8F pinnacle (ICE)


8f locking sheath (duodeca)
8f locking sheath (DuoDeca or Inquiry)


11f Pinnacle (or 10.5f fast) ---> Versacross ---> Faradrive ---> Farawave  
8f pinnacle (---> Preclose ----> SL0 + Baylis 71cm ---> Map with Grid -----> Remove Grid/Upsize to Faradrive ----> Ablate with Farawave)




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Rampart + Radpad
Rampart + Radpad


2x yellow filters
3x yellow filters


8f Acunav (non-soundstar)
8f Acunav (non-soundstar)


Duodeca + Cable
1x Perclose


Advisor + Cable
DuoDeca + Cable (until feasibility testing of resterilized Inquiry)


short versacross kit - 180cm pigwire
Grid + Cable


Light handle cover
Light handle cover
Alligator Clips
SL0/Baylis 71cm (from lab5)




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1x Ice Sleeve
1x Ice Sleeve


2x Access Sleeve (tte/linear)
1x Access sleeve


ACT line
ACT line


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


Ioban
Ioban


8F pinnacle
8F pinnacle x2


8f locking sheath
8f locking sheath


11f pinnacle (or 10.5f fastcath)
ask - driver/0pds/stopcock for woggle if no protamine
 
driver/0pds/stopcock for woggle


chloraprep
chloraprep


vascade x3
vascade x2


Rosen wire w/3mm J (though md wants to try the pigtailwire from VCkit)
Rosen wire w/1.5mmJ


created 5/7/24 ac/zr
created 5/7/24 ac/zr

Revision as of 22:55, 6 September 2024

last edited 9/5/24 zr/jc


General:

-Consent - Electrophysiology Study with Catheter Ablation

-Patient intubated/paralyzed (long acting) throughout procedure

-No foley

-No isuprel

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

-Fluoro

-Goal ACT>300

-MacLab leads, Anesthesia leads, Claris 12 lead

-2 Grounds, Abbott patches, regular defib pad


From Pyxis:

-Case by case basis for protamine

-No famotidine

-bupivicaine

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

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

- for typical AFL PFA: Nitro - 250ml bottle of 200mcg/ml



Bags:

-500mL NS for ACT line

-1L LR anesthesia

-(1x) 500mL NS with 5000u heparin for the table

-(2x) 500mL NS with 5000u heparin for red/yellow lines

-(1x prepulled from pyxis 25,000u heparin/250mL NS) heparin drip for blue line

Lines:

-ACT

-Blue (heparin drip)

-Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr)

-Yellow (Farapulse - Heparin 5000u/500mL NS pressure bag, no pump)



Charting ablation in Cupid:

System used - freetext Farapulse

Energy - freetext PFA

Number of energy applications - # per Ablation site



Drop List: Sheaths:

8F pinnacle (ICE)

8f locking sheath (DuoDeca or Inquiry)

8f pinnacle (---> Preclose ----> SL0 + Baylis 71cm ---> Map with Grid -----> Remove Grid/Upsize to Faradrive ----> Ablate with Farawave)



Rampart + Radpad

3x yellow filters

8f Acunav (non-soundstar)

1x Perclose

DuoDeca + Cable (until feasibility testing of resterilized Inquiry)

Grid + Cable

Light handle cover

Alligator Clips


SL0/Baylis 71cm (from lab5)



1x Ice Sleeve

1x Access sleeve

ACT line

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

Ioban

8F pinnacle x2

8f locking sheath

ask - driver/0pds/stopcock for woggle if no protamine

chloraprep

vascade x2

Rosen wire w/1.5mmJ

created 5/7/24 ac/zr

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