Tooley Farapulse: Difference between revisions
(Created page with "General: -Consent - Electrophysiology Study with Catheter Ablation -Patient intubated/paralyzed (long acting) throughout procedure -No foley -No isuprel -Antibiotics per protocol (only w/device, implants etc.) - DOUBLE CHECK -Fluoro -Goal ACT>300 CardioLab 12 Leads, Anesthesia leads -1 Ground, Carto Patches, regular defib pad From Pyxis: -Case by case basis for protamine -No famotidine -bupivicaine - (2x) heparin vials (10,000 u/10mL) - (1x) heparin premi...") |
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| Line 1: | Line 1: | ||
General: | General: Tooley wants to be flexible btw BW/Abbott and droplist will adjust depending on vendor. | ||
-Consent - Electrophysiology Study with Catheter Ablation | -Consent - Electrophysiology Study with Catheter Ablation | ||
| Line 15: | Line 15: | ||
-Goal ACT>300 | -Goal ACT>300 | ||
CardioLab 12 Leads, Anesthesia leads | CardioLab 12 Leads (lab 5), or Claris 12 lead / MacLab 5 lead (lab 4), Anesthesia leads | ||
-1 Ground, Carto Patches, regular defib pad | -1 Ground, Carto Patches, regular defib pad | ||
| Line 56: | Line 56: | ||
-Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr) | -Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr) | ||
-Yellow (Farapulse - Heparin 5000u/500mL NS | -Yellow (Farapulse - Heparin 5000u/500mL NS run at 50cc/hr) | ||
| Line 73: | Line 73: | ||
1 for ICE | 1 for ICE | ||
1 for | |||
1 for (---> Preclose ----> VC Kit ---> Map with... (Octaray/Optrell/Pentaray | |||
1 for CS | |||
1 for (---> Preclose ----> VC Kit ---> Map with... (Octaray/Optrell/Pentaray/Grid confirm, also Octaray size if using Oct.)-----> Remove Mapping catheter/Upsize to Faradrive ----> Ablate with Farawave) | |||
| Line 82: | Line 87: | ||
3x yellow filters | 3x yellow filters | ||
8f Soundstar Acunav | 8f Soundstar Acunav if Carto, 8F Acunav non soundstar if Abbott | ||
1x Perclose | 1x Perclose | ||
BW CS + Cable | BW CS + Cable if Carto, Livewire + Cable if Abbott | ||
Octa/Penta/Optrell + Cable or Sleeve | Octa/Penta/Optrell + Cable or Sleeve if Carto, Grid + Cable if Abbott | ||
Latest revision as of 15:55, 5 November 2024
General: Tooley wants to be flexible btw BW/Abbott and droplist will adjust depending on vendor.
-Consent - Electrophysiology Study with Catheter Ablation
-Patient intubated/paralyzed (long acting) throughout procedure
-No foley
-No isuprel
-Antibiotics per protocol (only w/device, implants etc.) - DOUBLE CHECK
-Fluoro
-Goal ACT>300
CardioLab 12 Leads (lab 5), or Claris 12 lead / MacLab 5 lead (lab 4), Anesthesia leads
-1 Ground, Carto 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: 3x 8f pinnacle
1 for ICE
1 for CS
1 for (---> Preclose ----> VC Kit ---> Map with... (Octaray/Optrell/Pentaray/Grid confirm, also Octaray size if using Oct.)-----> Remove Mapping catheter/Upsize to Faradrive ----> Ablate with Farawave)
Rampart + Radpad
3x yellow filters
8f Soundstar Acunav if Carto, 8F Acunav non soundstar if Abbott
1x Perclose
BW CS + Cable if Carto, Livewire + Cable if Abbott
Octa/Penta/Optrell + Cable or Sleeve if Carto, Grid + Cable if Abbott
1x Ice Sleeve (potentially 2 if Octa/Optrell)
1x Access sleeve
ACT line
3x pressure lines (label blue/red/yellow)
Ioban
8F pinnacle x3
ask - driver/0pds/stopcock for woggle if no protamine
chloraprep
vascade x2
Rosen wire w/1.5mmJ
created 5/7/24 ac/zr
