Volt

General:

-Consent - Electrophysiology Study with Catheter Ablation

-Patient intubated/short term paralysis only as we extensively pace for phrenic capture throughout the case.

-Anesthesiologist will pre-treat with glycopyrrolate (unclear on dosage)

-No foley

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

-Fluoro

-ACT >= 300

-All patients must be admitted for overnight stay (trial rules)

From Pyxis:

-protamine

-famotidine

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

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

Bags:

-500mL NS for ACT line

-1L LR anesthesia

-(3x) 500mL NS with 5000u heparin: 1 for table, 1 for red line, 1 for yellow line

Lines:

-ACT

-Blue (heparin drip -on pump/to agilis)

-Red (120 mL/hr - to grid)

-Yellow (120mL/hr - to volt central lumen)

Sheaths: tentative changes for thursady June 20:

8F pinnacle (RFV - preclose x1 + agilis + long(98cm) BRK ----> grid map, prep volt catheter while grid mapping)

8f locking sheath (RFV - duodeca) vascade to close

10.5 fastcath (RFV - ice) vascade to close

Equipment droplist:

EP pack

Rampart + Radpad

3x yellow filters

Alligator clips ("threshold cable")

10f acunav (non-soundstar)

Livewire Duodeca + Cable

Grid + Cable

98cm Baylis needle + baylis cable

1x perclose for preclose

Abbott mapping patches

Contrast (spike if multiple VOLT cases for the day - only need 1cc per case)

1x Ice sleeve

2x Access sleeve (tte/linear)

ACT line

3x pressure lines (blue/red/yellow)

Ioban

8F pinnacle

8f locking sheath

10.5 fastcath

1x 50cc syringe

chloraprep

vascade x2

Amplatz .035 180 J

created 6/13/24 ac/zr