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Pacemaker implantation technique waleed roshdy
1.
PACEMAKER IMPLANTATION Waleed Roshdy
, TRG
2.
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
3.
STEPS OF IMPLANTATION 1-
STERILIZATION (patient and surgical tools )
4.
CENTRAL VENOUS
ACCESS TECHNIQUES
5.
TARGET VEINS FOR
ACCESS
6.
3- INCISION AND
POCKET FORMATION
7.
RV LEAD PLACEMENT
Position and stability Techniques : # prolapsing # drop down # direct crossing
8.
9.
10.
11.
MESUREMENT (PACING THRESHOLD
AND R WAVE MESUREMENT)
12.
13.
ATRIAL LEAD PLACEMENT
14.
FINAL STEPS #closing the
wound #Antibiotics #Covering the wound #Specific instructions
15.
COMPLICATIONS
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