Pacemaker
From Bay Area Structural Heart Wiki
Pacemaker notes for the Cath Lab
Medications
- Cefazolin (Kefzol, Ancef) 1gm / 2gm (weight based) 1G Vanco if PCN allergy
- 15ml Betadine 10% into 500ml 0.9% NS pocket wash
- Lidocaine / Bupivucaine (50/50)
- 1000ml Heparinized saline (500ml/500ml split on table between Bacitracin and Flush tubs)
- Fentanyl / Versed for sedation (optional?)
- NS to L-sided 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 |
|
|
| Romick |
|
|
