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
-MacLab leads, Anesthesia leads, Claris 12 lead
-2 Grounds, Abbott patches, regular defib pad
From Pyxis:
-protamine if patient is going home. no protamine if patient is staying. (5/7/24)
-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
-(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 ---> Map with Advisor ---> remove Advisor/upsize to Faradrive ---> Farawave
Rampart + Radpad
2x yellow filters
8f Acunav (non-soundstar)
Duodeca + Cable
Check for Denovo vs. Redo, history of flutter etc for Grid vs. Advisor. Make sure to pull the appropriate cable since they look similar.
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)
ask - driver/0pds/stopcock for woggle
chloraprep
vascade x3
Rosen wire w/1.5mmJ
created 5/7/24 ac/zr