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AICD (insertion/change)
Clinical Procedure
 
Aliases:
AICD insertion
AICD change
Insertion of defibrillator

Topic aliases are alternate phrasings for a particular topic.


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anaesthesia in-a-remote-or-hazardous-environment usually in a catheter laboratory. Familiarise yourself with equipment and ensure adequately trained anaesthetic staff present

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Sep 26, 2012
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Ensure appropriate resuscitation drugs/equipment are available

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Jul 28, 2011
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Clarify ventricular function by looking at recent investigations such as echocardiograms or cardiac nuclear medicine scans

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Duration: 45min to 3hrs depending on whether leads are replaced.

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Jul 28, 2011
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A left sided upper limb peripheral IV is recommended. Occasionally contrast will need to be injected into the left arm to delineate anatomy for the proceduralist.

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Oct 16, 2015
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Consider intra-arterial blood pressure monitoring in patients with severely impaired contractility having an AICD inserted.

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Oct 04, 2011
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Antibiotic prophylaxis is usually required

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May 18, 2011
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External defibrillator should be immediately available and pads placed on patient before draping

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Jul 28, 2011
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If a lead change is being performed, XRay will be used. Secure all tubes/lines away from path of C-arm to avoid disconnections

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Mar 12, 2012
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Supine position

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May 18, 2011
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VF is induced at the end of the procedure for device testing, for which the patient needs to be sedated.

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Jul 28, 2011
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If there is a lead change, or the box is deep, there may be significant tissue dissection. Consider general anesthesia from the outset if this likely

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Have intravenous fluids running at a slow rate and check intermittently to ensure intravenous access is patent for when its needed.

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Oct 17, 2011
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