Temp/Perm Guide: Difference between revisions
From Bay Area Structural Heart Wiki
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{{Note|Rep is available for FaceTime during case if in need of assistance! | {{Note|Rep is available for FaceTime during case if in need of assistance! | ||
Justin - 408-781-9997}} | Justin - 408-781-9997 | ||
iPad PASSWORD: Medtronic }} | |||
== PPM Pre-Programing Once Out of Box == | == PPM Pre-Programing Once Out of Box == | ||
* Connect device to programmer | * Connect device to programmer by placing wand over generator and pressing grey button. | ||
* Once connected: | |||
* Program - 60bpm | |||
* Select "PARAMETERS" under top right drop down icon | * Select "PARAMETERS" under top right drop down icon | ||
* Click on box that says "PACING..." | * Click on box that says "PACING..." | ||
* Change "Pace Polarity AND Sense Polarity" from unipolar to bipolar | * Change "Pace Polarity AND Sense Polarity" from unipolar to bipolar | ||
* Next click on "ADDITIONAL FEATURES..." in lower right corner | * Next click on "ADDITIONAL FEATURES..." in lower right corner then Hysteresis on at 50bpm | ||
* Under "IMPLANT DETECTION" make sure you turn in OFF | * Under "IMPLANT DETECTION" make sure you turn in OFF | ||
* push "program" | |||
* After connected to the RV lead use testing tab for Threshold, Sensing, and Impedance | |||
==Equipment== | ==Equipment== | ||
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*Single chamber PPM | *Single chamber PPM | ||
*Alligator clip pacing cable | *Alligator clip pacing cable | ||
* | *(3) 0-Ethibond | ||
*1 x 2-0 Prolene suture (Keep on standby for Romick) | *1 x 2-0 Prolene suture (Keep on standby for Romick) | ||
*Screwdriver | *Screwdriver | ||
Latest revision as of 22:09, 5 May 2025
The Temp/Perm pacemaker setup is used when a short term pacemaker is needed for heart block in the setting of Alcohol Septal Ablation or TAVI. It uses a standard passive fixation pacemaker lead placed through the subclavian vein. A permanent pacemaker unit is connected to the lead outside the body to provide stimulation.
Programmer setup
- Take blue medtronic bag from TAVR cart
- Plug in white wand base
- Boot up iPad, password: Medtronic
- Select SmartSync app on main screen
- Follow prompts to connect wireless wand
- Once connected, place wand over pacemaker
- If testing capture of the lead make sure fresh set of alligator cables are on the table, they will connect to the lead and the white wand base
- Program device according to MD preference
Warning: ***WHEN DEVICE RETURNED TO LAB PLEASE REPROGRAM TO "OVO"*** this will make sure it stops pacing while not in use by a patient, and preserve battery life!
Note: Rep is available for FaceTime during case if in need of assistance!
Justin - 408-781-9997
iPad PASSWORD: Medtronic
PPM Pre-Programing Once Out of Box
- Connect device to programmer by placing wand over generator and pressing grey button.
- Once connected:
- Program - 60bpm
- Select "PARAMETERS" under top right drop down icon
- Click on box that says "PACING..."
- Change "Pace Polarity AND Sense Polarity" from unipolar to bipolar
- Next click on "ADDITIONAL FEATURES..." in lower right corner then Hysteresis on at 50bpm
- Under "IMPLANT DETECTION" make sure you turn in OFF
- push "program"
- After connected to the RV lead use testing tab for Threshold, Sensing, and Impedance
Equipment
Open
- US probe cover
- Micropuncture set
- 6fr. Peel away sheath
- Pacemaker lead
- Single chamber PPM
- Alligator clip pacing cable
- (3) 0-Ethibond
- 1 x 2-0 Prolene suture (Keep on standby for Romick)
- Screwdriver
- 3 x Medium Tegaderms
- Biopatch
Procedure
- Prep and drape right shoulder area
- Ultrasound guided access to R Subclavian vein
- Insert peel-away sheath
- Insert lead and test
- Suture lead in place at skin
- Biopatch and place dressing
- Attach external PPM, secure with tegaderm
