EP PROCEDURE NOTE

DATE OF PROCEDURE:

PRE-OPERATIVE DIAGNOSIS:

1. 

POSTOPERATIVE DIAGNOSIS:

1.  Successful Temporary Pacemaker Placement

PROCEDURE PERFORMED:

1.  Temporary pacemaker placement

ELECTROPHYSIOLOGIST:  Michael Bui, MD

ASSISTANTS:

CLINICAL PROFILE:

COMPLICATIONS: None.

ESTIMATED BLOOD LOSS: 5 cc

FLUORO TIME:  min

DAP:  Gycm2

AIR KERMA:  mGy

PROCEDURE:

The risks and benefits of the procedure were explained to the patient in

full, and in simple terms.  Alternative therapy options were given,

including no procedure.  The risks of the procedure include, but are not

limited to: pain, bleeding, infection, pneumothorax, perforation of

vessels or heart, pericardial effusion, lead dislodgement, and death. The

risks of blood transfusion were discussed, and include fever, transfusion

reaction, and infection. All questions were answered, and the patient

voices understanding. The patient acknowledged the risks of the procedure,

and still wanted to proceed.

A formal time out for patient identification and review of procedure was

performed.

The right neck area was prepped and draped in a sterile fashion.  Asceptic

technique was followed.  The neck area was anesthetized with lidocaine.  The

right internal jugular vein was cannulated using ultrasound guidance, and a

wire was inserted, over which a 6 Fr sheath was placed.  The wire was then

removed.

Then, an Edwards Lifesciences temporary pacing swan was placed through the

sheath into the right ventricle, using pacing morphologies on ECG

for guidance. The pacing balloon was then deflated and the pacing threshold was tested, which was excellent.  The system was then sutured

securely into place.  A tegaderm was applied.

     -Pacemaker balloon is set to the ___ mm mark with capture

             -At this location, the pacing threshold is ___ mAmp

The patient was then transported back to a monitored bed.

PLAN:

1.  CXR + ECG