Difference between revisions of "St. Joes Stockton TAVR"

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==TAVR Pack list==
 
==TAVR Pack list==
  
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===Stock Room===
 
*Basic Pack (Large table cover)
 
*Basic Pack (Large table cover)
 
*Marquis Blue Stopcock x2
 
*Marquis Blue Stopcock x2
 +
*Gray needle
 
*U/S Probe Cover
 
*U/S Probe Cover
*Acist touch kit long pack
 
 
*Micropuncture Introducer Set x2
 
*Micropuncture Introducer Set x2
*6 FR Terumo Pinnacle Ref RSS602 x2
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*Transducer
*8 FR Terumo Pinnacle Ref RSS802 x1
 
 
*.035 J Wire 145
 
*.035 J Wire 145
 
*.035 / Wire 260 cm X1
 
*.035 / Wire 260 cm X1
 
*.035 LLT Guide wire 145CM X1
 
*.035 LLT Guide wire 145CM X1
 
*Lunderquist Extra Stiff Wire Guide  double curve 260CM X1 -not Punnam Ali
 
*Lunderquist Extra Stiff Wire Guide  double curve 260CM X1 -not Punnam Ali
*6 FR Per Close Proglide x2
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*Amplatz Extra Stiff Wire Guide .035 260 -Edwards
*Mynx Perclose for Mahadevan
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*Confida- Medtronic or Mahadevan
*6fr AngioSeal
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*3-8 Green Glove 2-7 Purple Gloves 3-7-½ PI Glove 2-7 PI Glove1-7 ½ Biogel Glove
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===Room 1===
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*6 FR Terumo Pinnacle Ref RSS602 x2
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*8 FR Terumo Pinnacle Ref RSS802 x1
 
*60CC Syringe X2 (2-extra for Buhari)
 
*60CC Syringe X2 (2-extra for Buhari)
 
*24" tubing
 
*24" tubing
 
*48" tubing
 
*48" tubing
*Transducer
 
 
*8 - 10CC Syringes
 
*8 - 10CC Syringes
*3-8 Green Glove 2-7 Purple Gloves 3-7-½ PI Glove 2-7 PI Glove1-7 ½ Biogel Glove
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*Acist touch kit long pack
*Amplatz Extra Stiff Wire Guide .035 260 -Edwards
+
 
*Confida- Medtronic or Mahadevan
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===Supply cart by break room===
*2 grey needles
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*Mynx - Not Mahadevan
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*6 FR Per Close Proglide x2 - Extra Perclose for Mahadevan
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*6fr AngioSeal
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*Basic Pack III (also in OR stock room)
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==Edwards==
  
 
===Edwards pacer supplies===
 
===Edwards pacer supplies===
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*30cc syringe
 
*30cc syringe
  
===Medtronic Setup===
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==Medtronic==
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====Open====
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*Confida wire
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*Alligator clips
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====Standby====
 
====Standby====
 
*Pacer setup
 
*Pacer setup
 
*Venous sheath and lines
 
*Venous sheath and lines
  
====Open====
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==Setup==
*Confida wire
 
*Alligator clips
 
  
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{{Note|OR nurses will open light covers, arterial extension, and dressing supplies from their stock.}}
  
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#Ensure you have 2 long tables.
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#Back table pack to scrub table.
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#Basic Pack to valve prep table.
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#Open everything - RN's will help.
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#Set tables and cover.
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#When Pt. enters Anes. and RN's will hook pt up and shave and prep.
 +
#Full 3 minute prep pause
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#Drape
  
 
==Procedure==
 
==Procedure==

Latest revision as of 14:38, 10 June 2026


TAVR Pack list

Stock Room

  • Basic Pack (Large table cover)
  • Marquis Blue Stopcock x2
  • Gray needle
  • U/S Probe Cover
  • Micropuncture Introducer Set x2
  • Transducer
  • .035 J Wire 145
  • .035 / Wire 260 cm X1
  • .035 LLT Guide wire 145CM X1
  • Lunderquist Extra Stiff Wire Guide double curve 260CM X1 -not Punnam Ali
  • Amplatz Extra Stiff Wire Guide .035 260 -Edwards
  • Confida- Medtronic or Mahadevan
  • 3-8 Green Glove 2-7 Purple Gloves 3-7-½ PI Glove 2-7 PI Glove1-7 ½ Biogel Glove

Room 1

  • 6 FR Terumo Pinnacle Ref RSS602 x2
  • 8 FR Terumo Pinnacle Ref RSS802 x1
  • 60CC Syringe X2 (2-extra for Buhari)
  • 24" tubing
  • 48" tubing
  • 8 - 10CC Syringes
  • Acist touch kit long pack

Supply cart by break room

  • Mynx - Not Mahadevan
  • 6 FR Per Close Proglide x2 - Extra Perclose for Mahadevan
  • 6fr AngioSeal
  • Basic Pack III (also in OR stock room)

Edwards

Edwards pacer supplies

  • Remington pacer cables
  • Repositioning Sleeve
  • 5FR (197MM) Pacel pacing catheter
  • 2-3 Blue Sterile Bowls (Disposable)
  • 6 FR Terumo Pinnacle REF. R55602 X1
  • 2 24" Tubing

Edwards setup

  • 20ml contrast to setup table for mix
  • 2x60cc syringes
  • 30cc syringe

Medtronic

Open

  • Confida wire
  • Alligator clips

Standby

  • Pacer setup
  • Venous sheath and lines

Setup

Note Note: OR nurses will open light covers, arterial extension, and dressing supplies from their stock.

  1. Ensure you have 2 long tables.
  2. Back table pack to scrub table.
  3. Basic Pack to valve prep table.
  4. Open everything - RN's will help.
  5. Set tables and cover.
  6. When Pt. enters Anes. and RN's will hook pt up and shave and prep.
  7. Full 3 minute prep pause
  8. Drape

Procedure

  • Full OR prep, but standard CCL drape.
  • RN opens venous extension.
  • Drs get access and help themselves.
  • 6fr to dilate
  • 6fr venous
  • Pre close
  • 8fr sheath arterial
  • Pigtail
  • Crossing catheter
  • Vein access
  • Pacer
  • Lunderquist -> sheath
  • Lund out
  • Position pigtail
  • Cross valve
  • 260j
  • Pigtail across valve
  • Amplatz in
  • Load valve
  • Advance valve on balloon
  • Deploy
  • Fluoro Save!
  • Echo
  • Remove system
  • Pigtail for gradient
  • Short j's
  • Perclose
  • Angioseal for 6fr artery
  • Mynx for vein
  • Cleanup

Notes

Ali / Punnam

  • 8fr for vein
  • Amp ss for big sheath no lunderquist
  • 14fr. sheath dilator first, not 16fr
  • Confida
  • Extra Perclose for L art.
  • Manual pressure for vein
  • No glue