Transcript
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PACEMAKER IMPLANTATION Waleed Roshdy , TRG
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PRE-OPERATIVE CHECKLIST Written Consent Antibiotics Analgesic and sedative agents Surgical tools and operating room Stoppage af antiplatelets and anti-
coagulants ??? Pre-operative laborartory tests
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STEPS OF IMPLANTATION 1- STERILIZATION (patient and surgical
tools )
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CENTRAL VENOUS ACCESS TECHNIQUES
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TARGET VEINS FOR ACCESS
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3 -INCISION AND POCKET FORMATION
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RV LEAD PLACEMENT Position and stability Techniques : # prolapsing # drop down # direct crossing
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MESUREMENT (PACING THRESHOLD AND R WAVE MESUREMENT)
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ATRIAL LEAD PLACEMENT
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FINAL STEPS #closing the wound #Antibiotics #Covering the wound #Specific instructions
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COMPLICATIONS
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