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 == | == Medications == | ||
* Cefazolin (Kefzol, Ancef) 1gm / 2gm (weight based) | * 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) | * Lidocaine / Bupivucaine (50/50) | ||
* 1000ml Heparinized saline (500ml/500ml split on table between Bacitracin and Flush tubs) | * 1000ml Heparinized saline (500ml/500ml split on table between Bacitracin and Flush tubs) | ||
* Fentanyl / Versed for sedation (optional?) | * Fentanyl / Versed for sedation (optional?) | ||
* NS to | * NS to L-sided IV (for venogram) | ||
==Supplies== | ==Supplies== | ||
| Line 22: | Line 31: | ||
*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 | ||
| Line 36: | Line 47: | ||
|Milechman | |Milechman | ||
|| | || | ||
* | *0 Silk ties | ||
* | *0 Silk | ||
|| | || | ||
*2-0 Vicryl | *2-0 Vicryl | ||
| Line 43: | Line 54: | ||
*4-0 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 | |||
|- | |||
|} | |} | ||
[[Category:Procedures]] | [[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 |
|
|
| Romick |
|
|
| Hao | 0- Silk |
|
