Pacemaker

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Revision as of 15:34, 10 September 2021 by Suddemj (talk | contribs) (→‎Open:)

Pacemaker notes for the Cath Lab

Medications

  • Cefazolin (Kefzol, Ancef) 1gm / 2gm (weight based)
  • Bacitracin 50,000units (vial mixed in 500ml of Heparinized Saline)
  • Lidocaine / Bupivucaine (50/50)
  • 1000ml Heparinized saline (500ml/500ml split on table between Bacitracin and Flush tubs)
  • Fentanyl / Versed for sedation (optional?)
  • NS to Lsided IV (for venogram)

Supplies

Open:

  • Pacemaker pack
  • Pacemaker instruments
  • Micropuncture
  • Smoke evac bovie pen
  • X-ray detectable 4x4’s x2
  • Ioban
  • Blue towels (1 pack for drape)
  • Suture (See Dr. list below)
  • Fast-cath peelable sheaths (Ask rep for size)
  • Arm immobilizer

Have available:

  • Standard 4x4’s for end of procedure
  • (Milechman) Standard glide wire

Sutures:

Physician Leads Closure
Milechman
  • 2-0 Silk ties
  • 2-0 Silk
  • 2-0 Vicryl
  • 3-0 Vicryl
  • 4-0 Vicryl
Example Example Example
Example Example Example