Globe Trial
General:
-Consent - Electrophysiology Study with Catheter Ablation
-Patient intubated/paralyzed (long acting) throughout procedure
-No foley
-Antibiotics per woods protocol (only w/device, implants etc.)
-Fluoro
-ACT must be > 300 prior to (catheter insertion? confirm w/md)
From Pyxis:
-no protamine to start, but ask near end of case.
-famotidine
-lidocaine/bupivicaine
- (2x) heparin vials (10,000 u/10mL)
- (1x) heparin premixed (25,000/250mL)
Bags:
-500mL NS for ACT line
-1L LR anesthesia
-(2x) 1L NS with 5000u heparin for the table
-(1x) 1L NS with 5000u heparin for LA lines (spike twice - yellow & red)
Lines:
-ACT
-Blue (heparin drip)
-Red (100 mL/hr)
-Yellow (100mL/hr)
Sheaths:
8F pinnacle (RFV - preclose x2 + transeptal w/230cm VC sheath + dilate w/Coonz + + upsize to globe introducer - globe)
8f locking sheath (LFV - duodeca) vascade to close
10.5 fastcath (LFV - ice) vascade to close
Equipment droplist:
2 scrub tables - each with an EP pack. One table will be for the device + introducer prep, the other for draping/access/transeptal/etc.
Rampart + Radpad
2x yellow filters
10f acunav (non-soundstar)
Livewire Duodeca (no cable needed)
long versacross kit - 230cm pigwire
2x percloses (orthogonal preclose - 10&2)
Coonz Dilator (20f short from cart in sterile core)
Light handle cover
2x Ice sleeve (1 for ice, 1 for duo deca which connects to Kardium's nonsterile proprietary CS cable)
2x Access sleeve (tte/linear)
ACT line
2x pressure lines (possibly 3? to extend ACT far enough)
Ioban
8F pinnacle
8f locking sheath
10.5 fastcath
3x 50cc syringe
driver/0pds/stopcock for woggle
chloraprep
vascade x2
last updated 12/19/23 zr/ac