Pacemaker: Difference between revisions

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==Pacemaker notes for the Cath Lab==
==Pacemaker notes for the Cath Lab==
Hao Notes:
* No ioban until after he gets access (cut in 1/2)
* Micropuncute access with ultrasound. Slip tip. Single stick for dual lumen. Mosquitos to hold wires.
* Place ioban, lido, make pocket. Needs weilander, richardson and short debakey withouth teeth on patient chest.
* After pocket made needs 11 blade to cut wires free.
* If using a Tyrex do not invert it, hand it to him with scissors
== Medications ==
* Cefazolin (Kefzol, Ancef) 1gm / 2gm (weight based) 1G Vanco if PCN allergy
* 15ml Betadine 10% into 500ml 0.9% NS pocket wash
* Lidocaine / Bupivucaine (50/50)
* 1000ml Heparinized saline (500ml/500ml split on table between Bacitracin and Flush tubs)
* Fentanyl / Versed for sedation (optional?)
* NS to L-sided IV (for venogram)


==Supplies==
==Supplies==
===Open:===
===Open:===
*Pacemaker pack
*Pacemaker pack
*Pacemaker instruments
*Pacemaker instruments
*Micropuncture
*Micropuncture
*Smoke evac bovie pen
*X-ray detectable 4x4’s x2
*X-ray detectable 4x4’s x2
*Ioban
*Blue towels (1 pack for drape)
*Suture (See Dr. list below)
*Suture (See Dr. list below)
*Fast-cath peelable sheaths (Ask rep for size)
*Fast-cath peelable sheaths (Ask rep for size)
*Irrisept irrigation bottle - Back hall Pixys under keyboard bottom shelf


===Have available:===
===Have available:===
*Arm immobilizer
*Glue
*Standard 4x4’s for end of procedure
*Standard 4x4’s for end of procedure
*(Milechman) Standard glide wire
*(Milechman) Standard glide wire
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{| class="wikitable"
{| class="wikitable"
|-
|-
! Physician !! Leads !! Closure
!Physician!!Leads!!Closure
|-
|-
| Milechman  
|Milechman
||  
||
*2-0 Silk ties
*0 Silk ties
*2-0 Silk  
*0 Silk
||  
||
*2-0 Vicryl
*2-0 Vicryl
*3-0 Vicryl
*3-0 Vicryl
*4-0 Vicryl
*4-0 Vicryl
|-
|-
| Example || Example || Example
|Romick
||
*0-Ethibond on a CT-2 x3
||
*2-0 PDS on a CT-1
*3-0 Monocryl on a SH
*4-0 Monocryl on a SH
|-
|-
| Example || Example || Example
|Hao
|0- Silk
|
* 2-0 Vicryl on a CT-1 ( may need multiple)
* 2-0 PDS
* 3-0 Monocryl on a SH
*4-0 Monocryl on a SH
*0 Ethibon for the can
|-
 
|}
|}
[[Category:Procedures]]

Latest revision as of 14:56, 10 September 2024

Pacemaker notes for the Cath Lab

Hao Notes:

  • No ioban until after he gets access (cut in 1/2)
  • Micropuncute access with ultrasound. Slip tip. Single stick for dual lumen. Mosquitos to hold wires.
  • Place ioban, lido, make pocket. Needs weilander, richardson and short debakey withouth teeth on patient chest.
  • After pocket made needs 11 blade to cut wires free.
  • If using a Tyrex do not invert it, hand it to him with scissors


Medications

  • Cefazolin (Kefzol, Ancef) 1gm / 2gm (weight based) 1G Vanco if PCN allergy
  • 15ml Betadine 10% into 500ml 0.9% NS pocket wash
  • Lidocaine / Bupivucaine (50/50)
  • 1000ml Heparinized saline (500ml/500ml split on table between Bacitracin and Flush tubs)
  • Fentanyl / Versed for sedation (optional?)
  • NS to L-sided IV (for venogram)

Supplies

Open:

  • Pacemaker pack
  • Pacemaker instruments
  • Micropuncture
  • Smoke evac bovie pen
  • X-ray detectable 4x4’s x2
  • Ioban
  • Blue towels (1 pack for drape)
  • Suture (See Dr. list below)
  • Fast-cath peelable sheaths (Ask rep for size)
  • Irrisept irrigation bottle - Back hall Pixys under keyboard bottom shelf


Have available:

  • Arm immobilizer
  • Glue
  • Standard 4x4’s for end of procedure
  • (Milechman) Standard glide wire

Sutures:

Physician Leads Closure
Milechman
  • 0 Silk ties
  • 0 Silk
  • 2-0 Vicryl
  • 3-0 Vicryl
  • 4-0 Vicryl
Romick
  • 0-Ethibond on a CT-2 x3
  • 2-0 PDS on a CT-1
  • 3-0 Monocryl on a SH
  • 4-0 Monocryl on a SH
Hao 0- Silk
  • 2-0 Vicryl on a CT-1 ( may need multiple)
  • 2-0 PDS
  • 3-0 Monocryl on a SH
  • 4-0 Monocryl on a SH
  • 0 Ethibon for the can