Difference between revisions of "St. Joes Stockton TAVR"

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===TAVR SUPPLY LIST===
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 +
 
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==TAVR Pack list==
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===Stock Room===
 
*Basic Pack (Large table cover)
 
*Basic Pack (Large table cover)
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*Marquis Blue Stopcock x?
+
*Marquis Blue Stopcock x2
 +
*Gray needle
 
*U/S Probe Cover
 
*U/S Probe Cover
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*Acist touch kit long pack
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*Micropuncture Introducer Set x2
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*Micropuncture Introducer Set
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*Transducer
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*6 FR Terumo Pinnacle Ref RSS602 X2
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*.035 J Wire 145
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*8 FR Terumo Pinnacle Ref RSS802 X1
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*.035 / Wire 260 cm X1
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*.035 J Wire 145 X 2
 
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*.035 / Wire 260 260 cm X1
 
 
*.035 LLT Guide wire 145CM X1
 
*.035 LLT Guide wire 145CM X1
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*Lunderquist Extra Stiff Wire Guide 260CM X1
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*Lunderquist Extra Stiff Wire Guide double curve 260CM X1 -not Punnam Ali
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*6 FR (2.OMM) Per Close Proglide x2
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*Amplatz Extra Stiff Wire Guide .035 260 -Edwards
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*Mynx
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*Confida- Medtronic or Mahadevan
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*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)
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*30CC Syringe X2
 
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*20CC Syringe X3
 
 
*24" tubing
 
*24" tubing
 
*48" tubing
 
*48" tubing
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*Transducer
 
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*Party pack Ethibond
 
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*Stopcock - Blue
 
 
*8 - 10CC Syringes
 
*8 - 10CC Syringes
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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
+
*Acist touch kit long pack
−
*Amplatz Extra Stiff Wire Guide .035 260
+
 
−
*Confida- Medtronic
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===Supply cart by break room===
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*2 grey needles
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*Mynx - Not Mahadevan
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*6 FR Per Close Proglide x2 - Extra Perclose for Mahadevan
 +
*6fr AngioSeal
 +
*Basic Pack III (also in OR stock room)
 +
 
 +
==Edwards==
  
 
===Edwards pacer supplies===
 
===Edwards pacer supplies===
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*5FR (197MM) Pacel pacing catheter
 
*5FR (197MM) Pacel pacing catheter
 
*2-3 Blue Sterile Bowls (Disposable)
 
*2-3 Blue Sterile Bowls (Disposable)
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*Micro Puncture Set
 
 
*6 FR Terumo Pinnacle REF. R55602 X1
 
*6 FR Terumo Pinnacle REF. R55602 X1
 
*2 24" Tubing
 
*2 24" Tubing
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===Edwards setup===
 
===Edwards setup===
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*2x60cc syringes
 
*2x60cc syringes
 
*30cc syringe
 
*30cc syringe
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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====
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*Pacer setup
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*Venous sheath and lines
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==Setup==
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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.
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#Full 3 minute prep pause
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#Drape
  
 
==Procedure==
 
==Procedure==
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*Mynx for vein
 
*Mynx for vein
 
*Cleanup
 
*Cleanup
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==Notes==
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===Ali / Punnam===
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 +
*8fr for vein
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*Amp ss for big sheath no lunderquist
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*14fr. sheath dilator first, not 16fr
 +
*Confida
 +
*Extra Perclose for L art.
 +
*Manual pressure for vein
 +
*No glue

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
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