Temp/Perm Guide: Difference between revisions
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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 | *Take blue medtronic bag from TAVR cart | ||
*Plug in white wand base | *Plug in white wand base | ||
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{{Warn|***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!}} | {{Warn|***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 | {{Note|Rep is available for FaceTime during case if in need of assistance! | ||
Justin - 408-781-9997}} | Justin - 408-781-9997}} | ||
==Equipment== | |||
===Open=== | |||
*US probe cover | |||
*Micropuncture set | |||
*6fr. Peel away sheath | |||
*Pacemaker lead | |||
*Alligator clip pacing cable | |||
*2-0 Ethilon suture | |||
===Standby=== | |||
*Extra stylets | |||
==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 | |||
[[Category:Setups]] | [[Category:Setups]] | ||
Revision as of 15:55, 18 July 2024
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
Equipment
Open
- US probe cover
- Micropuncture set
- 6fr. Peel away sheath
- Pacemaker lead
- Alligator clip pacing cable
- 2-0 Ethilon suture
Standby
- Extra stylets
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
