Woods Farapulse

work in progress General:

-Consent - Electrophysiology Study with Catheter Ablation

-Patient intubated/paralyzed (long acting) throughout procedure

-No foley

-No isuprel

-Antibiotics per woods protocol (only w/device, implants etc.)

-Fluoro

-Goal ACT>300

-McKesson leads, Anesthesia leads, Farapulse leads (slaved into Claris 12 lead by rep - though started using claris directly 5/2024)

-2 Grounds, Abbott patches, regular defib pad

From Pyxis:

-protamine if patient is going home. no protamine if patient is staying. (5/7/24)

-famotidine - less esophageal risk? check before pulling.

-bupivicaine

- (2x) heparin vials (10,000 u/10mL)

- (1x) heparin premixed (25,000/250mL)

Bags:

-500mL NS for ACT line

-1L LR anesthesia

-(1x) 500mL NS with 5000u heparin for the table

-(1x) 500mL NS with 5000u heparin for red line

-(1x prepulled from pyxis) heparin drip for blue line

Lines:

-ACT

-Blue (heparin drip)

-Red (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:

8F pinnacle (ICE)

8f locking sheath (duodeca)

11f Pinnacle (or 10.5f fast) ---> Versacross ---> Faradrive ---> Farawave

Rampart + Radpad

2x yellow filters

8f Acunav (non-soundstar)

Duodeca + Cable

Advisor + Cable

short versacross kit - 180cm pigwire

Light handle cover

1x Ice Sleeve

2x Access Sleeve (tte/linear)

ACT line

2x pressure lines (label blue & red)

Ioban

8F pinnacle

8f locking sheath

11f pinnacle (or 10.5f fastcath)

driver/0pds/stopcock for woggle

chloraprep

vascade x3

Rosen wire w/3mm J (though md wants to try the pigtailwire from VCkit)

created 5/7/24 ac/zr