Procedure code: Pacemaker single chamber K60.5
Admitted with
EF
----------------------
Intravenous antibiotics were given pre-procedure.
I located the axillary vein with radiographic guidance and used it for venous access.
Active right ventricular apical lead placed with good parameters
Single chamber (VR) pacemaker placed in pre-pectoral pocket
The wound was closed with absorbable sutures subcutaneously and to the skin.
Set up VVI 50 bpm
------------------------
To minimize risk of lead displacement the patient has been advised to minimise movement of the relevant arm for two days and to avoid raising the arm above the horizontal for 4 weeks.
A PA and lateral chest X-Ray is to be performed in 3-4 hours to exclude pneumothorax or lead displacement. Please call me on 26539/ bleep 6911 to check the result. If x-ray done out of hours please bleep cardiology registrar on 4205 to check the X-ray.
A magnet check will be performed later today
May not drive for at least one week . Follow up has been arranged in pacemaker clinic in 6-10 weeks
Suitable for nurse-led discharge
I dissected down to the cephalic vein and used it for venous access.
pacing check will be performed tomorrow morning
Set up VVIR 50-110 bpm