Hongo PVI: Difference between revisions

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==PULMONARY VEIN ISOLATION==
==PVI - Dr. Richard Hongo==
    
    
{| class="wikitable"
{| class="wikitable"
!colspan="6"|PVI
! colspan="6" |PVI
|-
|-
!Anesthesia
!Anesthesia
Line 11: Line 11:
|-
|-
|General
|General
|US, Fluoro, ICE
|US, Fluoro, ICE, Carto
|
|
*Femoral Vein x4
*Femoral Vein x4
Line 22: Line 22:
===Main Header===
===Main Header===
====Foot of Table====
====Foot of Table====
* (1) SMALL DEFIB PAD SET
 
* (2) GROUND PATCHES
*(1) SMALL DEFIB PAD SET
* (2) SETS OF CARTO PATCHES
*(2) GROUND PATCHES
* (4) SLEEVES OF EKG DOTS
*(2) SETS OF CARTO PATCHES
* (3) CHLORAPREP STICKS
*(4) SLEEVES OF EKG DOTS
* (1) FOLEY (ADD 14F COUDE IF MALE)  
*(3) CHLORAPREP STICKS
*(1) TEMP FOLEY (ADD 14F COUDE IF MALE)
*(1) ENSO ETM


====Open====
====Open====
* (3) 8F PINNACLE
 
* (1) 10.5F FAST-CATH
*(1) EP PACK
* (2) 72" PRESSURE LINE
*(1) RAD-PAD
* (1) THERMACOOL TUBING
*(1) RAMPART DRAPE
* (1) ACT/ISO TUBING
*(3) 8F PINNACLE
* (1) IOBAN 35X35
*(1) 10.5F FAST-CATH
* (1) ACUNAV SLEEVE
*(3) 72" PRESSURE LINE
* (1) US SLEEVE
*(1) STOPCOCK
* (1) RAD-PAD
*(1) THERMACOOL TUBING
* (1) 34-34 ABLATOR CABLE
*(1) ACT/ISO TUBING
* (1) 34-12 CS CABLE
*(1) IOBAN 35X35
* (1) NAV-ECO LASSO/PENTARAY CABLE
*(1) ACUNAV SLEEVE
* (1) BAYLIS CABLE
*(1) US SLEEVE
* (1) LAMP 90° 71" SHEATH
*(1) 34-34 ABLATOR CABLE
* (1) SL0 71" SHEATH
*(1) 34-12 CS CABLE
* (1) BAYLIS NEEDLE
*(1) NAV-ECO LASSO/PENTARAY CABLE
*(1) BAYLIS CABLE
*(1) LAMP 90° 63" SHEATH
*(1) SL0 63" SHEATH
*(1) BAYLIS NEEDLE 71cm C0
 
====Standby====
====Standby====
* (1) BSW DECA D/F CATHETER
 
* (1) 10F SOUNDSTAR ICE CATHETER
*(1) BSW DECA D/F CATHETER
* (1) NAV LASSO 20 (IF PENTARAY EXPECTED INSTEAD, ADD 1X 72" PRESSURE LINE)
*(1) 10F SOUNDSTAR ICE CATHETER
* (1) ST-F ABLATION CATHETER
*(1) PENTARAY (OR POSSIBLY NAV LASSO 20)  
* (4) VASCADE
*(1) STSF-F ABLATION CATHETER
* (2) MEDIUM TEGADERM
*(4) VASCADE  


==Procedure==
==Procedure==
*PLACE PATCHES (hyperlink to diagram: front(incl subXiph window)/back, variant if patient has device)
 
*PLACE PATCHES (front(incl subXiph window)/back, variant if patient has device)
*INTUBATE (offer assistance to anesthesiologist as needed)
*INTUBATE (offer assistance to anesthesiologist as needed)
*PREP/DRAPE (details here - scrub and circulator)
*FOLEY
*ACCESS (sheath placement details)
*PREP/DRAPE
*ACCESS (2x 8f RFV, 8f + 10.5f LFV)
*PLACE CS/ICE (ice hookup instructions)
*PLACE CS/ICE (ice hookup instructions)
*TRANSEPTAL #1: LAMP + LASSO (OR PENTARAY), RECORD LA PRESSURE (details: baylis, grounds/map cable placement, line flush)
*TRANSEPTAL #1: LAMP + LASSO (OR PENTARAY), RECORD LA PRESSURE (details: baylis, grounds/map cable placement, line flush)
Line 66: Line 75:
*ISUPREL TEST (details)
*ISUPREL TEST (details)
*ADENOSINE TEST (occasional)
*ADENOSINE TEST (occasional)
*PROTAMINE (details)
*PROTAMINE
*CLOSE WITH 4X VASCADE (switch back to linear probe)
*CLOSE WITH 4X VASCADE (switch back to linear probe)


Latest revision as of 23:11, 1 August 2024

PVI - Dr. Richard Hongo

PVI
Anesthesia Imaging Access Pre-Procedure
General US, Fluoro, ICE, Carto
  • Femoral Vein x4


Main Header

Foot of Table

  • (1) SMALL DEFIB PAD SET
  • (2) GROUND PATCHES
  • (2) SETS OF CARTO PATCHES
  • (4) SLEEVES OF EKG DOTS
  • (3) CHLORAPREP STICKS
  • (1) TEMP FOLEY (ADD 14F COUDE IF MALE)
  • (1) ENSO ETM

Open

  • (1) EP PACK
  • (1) RAD-PAD
  • (1) RAMPART DRAPE
  • (3) 8F PINNACLE
  • (1) 10.5F FAST-CATH
  • (3) 72" PRESSURE LINE
  • (1) STOPCOCK
  • (1) THERMACOOL TUBING
  • (1) ACT/ISO TUBING
  • (1) IOBAN 35X35
  • (1) ACUNAV SLEEVE
  • (1) US SLEEVE
  • (1) 34-34 ABLATOR CABLE
  • (1) 34-12 CS CABLE
  • (1) NAV-ECO LASSO/PENTARAY CABLE
  • (1) BAYLIS CABLE
  • (1) LAMP 90° 63" SHEATH
  • (1) SL0 63" SHEATH
  • (1) BAYLIS NEEDLE 71cm C0

Standby

  • (1) BSW DECA D/F CATHETER
  • (1) 10F SOUNDSTAR ICE CATHETER
  • (1) PENTARAY (OR POSSIBLY NAV LASSO 20)
  • (1) STSF-F ABLATION CATHETER
  • (4) VASCADE

Procedure

  • PLACE PATCHES (front(incl subXiph window)/back, variant if patient has device)
  • INTUBATE (offer assistance to anesthesiologist as needed)
  • FOLEY
  • PREP/DRAPE
  • ACCESS (2x 8f RFV, 8f + 10.5f LFV)
  • PLACE CS/ICE (ice hookup instructions)
  • TRANSEPTAL #1: LAMP + LASSO (OR PENTARAY), RECORD LA PRESSURE (details: baylis, grounds/map cable placement, line flush)
  • TRANSEPTAL #2: SL0 + ST-F (details: baylis, grounds/map cable placement, line flush)
  • MAP
  • ABLATE (details)
  • ISUPREL TEST (details)
  • ADENOSINE TEST (occasional)
  • PROTAMINE
  • CLOSE WITH 4X VASCADE (switch back to linear probe)




APPROVED: MD initials MM/YY

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