Pacemaker

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
Romick	0-Ethibond on a CT-2 x3	2-0 PDS on a CT-1 3-0 Monocryl on a SH 4-0 Monocryl on a SH
Example	Example	Example