Left Subclavian IABP: Difference between revisions
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(Created page with " ROMICK LEFT SUBCLAVIAN IABP '''IF LEFT SUBCLAVIAN IS OCCLUDED OR OTHERWISE INACCESSIBLE PROCEDURE IS ABORTED. IABP SHOULD NOT BE INSERTED THROUGH RIGHT SUBCLAVIAN PER CT...") |
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* IABP SECURED WITH SUTURE AND SITE DRESSED. | * IABP SECURED WITH SUTURE AND SITE DRESSED. | ||
* RADIAL SHEATH REMOVED AND TR BAND APPLIED | * RADIAL SHEATH REMOVED AND TR BAND APPLIED | ||
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[[Category:Procedures]] | |||
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APPROVED: MD initials MM/YY | |||
Revision as of 15:52, 10 October 2019
ROMICK
LEFT SUBCLAVIAN IABP
IF LEFT SUBCLAVIAN IS OCCLUDED OR OTHERWISE INACCESSIBLE PROCEDURE IS ABORTED. IABP SHOULD NOT BE INSERTED THROUGH RIGHT SUBCLAVIAN PER CT SURGERY.
EQUIPMENT
- MICROPUNCTURE
- (2) 4/5F SLENDER RADIAL SHEATH
- AMPLATZ EXTRA STIFF 260CM WIRE
- .035 150CM JWIRE
- 5F PIGTAIL CATHETER
- 5F JR4 DIAGNOSTIC CATHETER
- IABP KIT
- 8F 23CM SAFESHEATH (EP)
- PERCLOSE
- TR BAND
PROCEDURE
- PREP LEFT SIDE NECK AND CHEST (EAR TO NIPPLE AND SHOULDER TO MIDLINE)
- NOTE: The access site is not an absolute (may become axillary or subclavicular) hence the large site prep.
- PREP LEFT RADIAL
- LEFT RADIAL ACCESSED AND 4/5F SLENDER SHEATH INSERTED
- PIGTAIL ADVANCED AND ANGIOGRAM PERFORMED. PIGTAIL LEFT IN PLACE AND USED AS REFERENCE FOR SUBCLAVIAN ACCESS.
- SUBCLAVIAN ACCESSED WITH ULTRASOUND AND FLUORO GUIDANCE USING MICROPUNCTURE KIT AND RADIAL SHEATH INSERTED.
- PIGTAIL CATHETER REMOVED
- J WIRE AND JR4 INSERTED AND DIRECTED TO DESCENDING AORTA.
- CATHETER AND SHEATH REMOVED, 8F DILATOR INSERTED, AND PERCLOSE ADVANCED FOR PRE-CLOSURE
- AMPLATZ WIRE ADVANCED, PERCLOSE REMOVED, 8F SAFE SHEATH ADVANCED.
- IABP INSERTED
- SHEATH PEELED AWAY
- IABP SECURED WITH SUTURE AND SITE DRESSED.
- RADIAL SHEATH REMOVED AND TR BAND APPLIED
APPROVED: MD initials MM/YY
