Tooley Farapulse

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 pressure bag, no pump)

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