Woods Farapulse

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 run at 50cc/hr)

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)

Micropuncture

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