Globe Trial: Difference between revisions

From Bay Area Structural Heart Wiki
(Created page with "RN: (4) 1L bags of NS, each with 5000u Heparin - 2 onto the scrub table, 2 for flush lines to the LA. Lido/Bup Droplist: 2 scrub tables - each with an EP pack. One table will be for the device + introducer prep, the other for draping/access/transeptal/etc. Rampart + Radpad 2x yellow filters 10f acunav (non-soundstar) Livewire Duodeca (no cable needed) long versacross kit - 230cm pigwire 2x percloses (orthogonal preclose - 10&2) Coonz Dilator (20f short from cart in st...")
 
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RN:
'''General:'''
(4) 1L bags of NS, each with 5000u Heparin - 2 onto the scrub table, 2 for flush lines to the LA.  
 
Lido/Bup
-Consent - Electrophysiology Study with Catheter Ablation
 
-Patient intubated/paralyzed (long acting) throughout procedure
 
-No foley
 
-Antibiotics per woods protocol (only w/device, implants etc.)
 
-Fluoro
 
-ACT must be > 300 prior to (catheter insertion? confirm w/md)
 
 
'''From Pyxis:'''
 
-no protamine to start, but ask near end of case.
 
-famotidine
 
-lidocaine/bupivicaine
 
- (2x) heparin vials (10,000 u/10mL)
 
- (1x) heparin premixed (25,000/250mL)
 
 
'''Bags:'''
 
-500mL NS for ACT line
 
-1L LR anesthesia
 
-(2x) 1L NS with 5000u heparin for the table
 
-(1x) 1L NS with 5000u heparin for LA lines (spike twice - yellow & red)
 
 
'''Lines:'''
 
-ACT
 
-Blue (heparin drip)
 
-Red (100 mL/hr)
 
-Yellow (100mL/hr)
 
 
'''Sheaths:'''
 
8F pinnacle (RFV - preclose x2 + transeptal w/230cm VC sheath + dilate w/Coonz + + upsize to globe introducer - globe)
 
8f locking sheath (LFV - duodeca) vascade to close
10.5 fastcath (LFV - ice) vascade to close
 
 
 
 
 
 
'''<big>Equipment droplist:</big>'''


Droplist:
2 scrub tables - each with an EP pack. One table will be for the device + introducer prep, the other for draping/access/transeptal/etc.
2 scrub tables - each with an EP pack. One table will be for the device + introducer prep, the other for draping/access/transeptal/etc.


Rampart + Radpad
Rampart + Radpad
2x yellow filters
2x yellow filters
10f acunav (non-soundstar)
10f acunav (non-soundstar)
Livewire Duodeca (no cable needed)
Livewire Duodeca (no cable needed)
long versacross kit - 230cm pigwire
long versacross kit - 230cm pigwire
2x percloses (orthogonal preclose - 10&2)
2x percloses (orthogonal preclose - 10&2)
Coonz Dilator (20f short from cart in sterile core)
Coonz Dilator (20f short from cart in sterile core)
Light handle cover




Line 18: Line 89:


2x Ice sleeve (1 for ice, 1 for duo deca which connects to Kardium's nonsterile proprietary CS cable)
2x Ice sleeve (1 for ice, 1 for duo deca which connects to Kardium's nonsterile proprietary CS cable)
2x Access sleeve (tte/linear)
2x Access sleeve (tte/linear)
ACT line
ACT line
2x pressure lines (possibly 3? to extend ACT far enough)
2x pressure lines (possibly 3? to extend ACT far enough)
Ioban
Ioban
8F pinnacle (RFV - preclose + dilate + upsize to globe introducer - globe)
8f locking sheath (LFV - duodeca)
8F pinnacle
10.5 fastcath (LFV - ice)
8f locking sheath
10.5 fastcath  
3x 50cc syringe
3x 50cc syringe
driver/0pds/stopcock for woggle for left sided sheaths.
driver/0pds/stopcock for woggle  
 
chloraprep
 
vascade x2


this page is a work in progress.  created 12/11/23 zr
last updated 12/19/23 zr/ac

Latest revision as of 20:45, 25 January 2024

General:

-Consent - Electrophysiology Study with Catheter Ablation

-Patient intubated/paralyzed (long acting) throughout procedure

-No foley

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

-Fluoro

-ACT must be > 300 prior to (catheter insertion? confirm w/md)


From Pyxis:

-no protamine to start, but ask near end of case.

-famotidine

-lidocaine/bupivicaine

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

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


Bags:

-500mL NS for ACT line

-1L LR anesthesia

-(2x) 1L NS with 5000u heparin for the table

-(1x) 1L NS with 5000u heparin for LA lines (spike twice - yellow & red)


Lines:

-ACT

-Blue (heparin drip)

-Red (100 mL/hr)

-Yellow (100mL/hr)


Sheaths:

8F pinnacle (RFV - preclose x2 + transeptal w/230cm VC sheath + dilate w/Coonz + + upsize to globe introducer - globe)

8f locking sheath (LFV - duodeca) vascade to close

10.5 fastcath (LFV - ice) vascade to close




Equipment droplist:

2 scrub tables - each with an EP pack. One table will be for the device + introducer prep, the other for draping/access/transeptal/etc.

Rampart + Radpad

2x yellow filters

10f acunav (non-soundstar)

Livewire Duodeca (no cable needed)

long versacross kit - 230cm pigwire

2x percloses (orthogonal preclose - 10&2)

Coonz Dilator (20f short from cart in sterile core)

Light handle cover




2x Ice sleeve (1 for ice, 1 for duo deca which connects to Kardium's nonsterile proprietary CS cable)

2x Access sleeve (tte/linear)

ACT line

2x pressure lines (possibly 3? to extend ACT far enough)

Ioban

8F pinnacle

8f locking sheath

10.5 fastcath

3x 50cc syringe

driver/0pds/stopcock for woggle

chloraprep

vascade x2

last updated 12/19/23 zr/ac