Notice: Payments for answers will end 4/10/2017. Click for more info.
You have new items in your feed. Click to view.
Question and answer
Q: Placement of a temporary pacemaker. The right subclavian area was prepped and draped in the usual fashion. Local anesthetic was infiltrated. The subclavian vein was entered via Seldinger technique
with a Cook needle. A guidewire was passed to the right heart. A 6-French dilator sheath was placed. The dilator and wire were then removed. The sheath was sutured into place. A 5-French bipolar pacemaker wire was placed near the apex of the right ventricle. Temporary pacing was instituted. Threshold was less than 0.5 mV. Pacer settings were 60 per minute demand and 5 MA. Patient returned to their room in good condition
A: DESCRIPTION OF OPERATION: The patient was brought to the electrophysiology laboratory in the fasting state after signing informed consent. The left subclavian area was prepped and draped in the usual sterile fashion. [ Local anesthesia was achieved along the left deltopectoral groove using a combination of 1% lidocaine and 0.5% Marcaine. An incision was extended along the groove, and using a
combination of blunt and Bovie dissection, the incision was extended to the level of the prepectoral fascia. A pulse generator pocket was fashioned inferomedial to the incision using blunt dissection in the prepectoral space. The left axillary vein was visualized with a Site-Rite II ultrasound device, and under direct ultrasound visualization, the vein was punctured with a Cook needle and a guidewire was placed. Using a similar ultrasound-guided technique, another guidewire was placed in the left axillary vein using a separate needle stick. Over one guidewire, a 7 French introducer sheath was advanced. Through this sheath, an active fixation pacing lead was advanced using straight and curved stylets. The lead was positioned in the right ventricular septal area at a site with favorable sensing and pacing characteristics, where the lead was actively fixed in the location and securely sutured to the underlying pectoral muscle. Final lead measurements were favorable, and there was no diaphragmatic stimulation at high output pacing. Over the second guidewire, another 7 French introducer sheath was advanced, and through this sheath, another active fixation pacing lead was advanced into the right atrium with the aid of a J-tipped stylet. The lead was positioned in the right atrial appendage at a site with favorable sensing and pacing characteristics, where the lead was actively fixed in the location and securely sutured to the underlying pectoral muscle. It should be noted that this original pacing lead did dislodge not long after closure of the wound. ]
Get an answer
Original conversation
User: Placement of a temporary pacemaker. The right subclavian area was prepped and draped in the usual fashion. Local anesthetic was infiltrated. The subclavian vein was entered via Seldinger technique with a Cook needle. A guidewire was passed to the right heart. A 6-French dilator sheath was placed. The dilator and wire were then removed. The sheath was sutured into place. A 5-French bipolar pacemaker wire was placed near the apex of the right ventricle. Temporary pacing was instituted. Threshold was less than 0.5 mV. Pacer settings were 60 per minute demand and 5 MA. Patient returned to their room in good condition

Weegy: DESCRIPTION OF OPERATION: The patient was brought to the electrophysiology laboratory in the fasting state after signing informed consent. The left subclavian area was prepped and draped in the usual sterile fashion. [ Local anesthesia was achieved along the left deltopectoral groove using a combination of 1% lidocaine and 0.5% Marcaine. An incision was extended along the groove, and using a combination of blunt and Bovie dissection, the incision was extended to the level of the prepectoral fascia. A pulse generator pocket was fashioned inferomedial to the incision using blunt dissection in the prepectoral space. The left axillary vein was visualized with a Site-Rite II ultrasound device, and under direct ultrasound visualization, the vein was punctured with a Cook needle and a guidewire was placed. Using a similar ultrasound-guided technique, another guidewire was placed in the left axillary vein using a separate needle stick. Over one guidewire, a 7 French introducer sheath was advanced. Through this sheath, an active fixation pacing lead was advanced using straight and curved stylets. The lead was positioned in the right ventricular septal area at a site with favorable sensing and pacing characteristics, where the lead was actively fixed in the location and securely sutured to the underlying pectoral muscle. Final lead measurements were favorable, and there was no diaphragmatic stimulation at high output pacing. Over the second guidewire, another 7 French introducer sheath was advanced, and through this sheath, another active fixation pacing lead was advanced into the right atrium with the aid of a J-tipped stylet. The lead was positioned in the right atrial appendage at a site with favorable sensing and pacing characteristics, where the lead was actively fixed in the location and securely sutured to the underlying pectoral muscle. It should be noted that this original pacing lead did dislodge not long after closure of the wound. ]
newbre|Points 50|

User: The physician views the trachea using a bronchoscope placed through an established tracheostomy. The physician examines the conducting airways. The bronchoscope is removed.

Weegy: A diagnostic bronchoscopy is performed to locate the foreign body, and a surgical bronchoscopy is performed to remove the foreign body. Report code 31635.
jeifunk|Points 8380|

Question
Asked 1/13/2013 8:26:25 PM
0 Answers/Comments
New answers
Rating

There are no new answers.

Comments

There are no comments.

Add an answer or comment
Log in or sign up first.
26,569,908 questions answered
Popular Conversations
6. Solve the equation. Show your work. Check your answer. 3x – 7 = 5x ...
Weegy: 3x – 7 = 5x + 19 , 3x - 5x = 19+7, -2x = 26, - x=26/2, x=-13
1/10/2018 8:46:51 AM| 3 Answers
9/11= /22
Weegy: Multiply the numerator of the first fraction by the denominator of the second fraction. Set this equal to the ...
1/10/2018 4:50:25 PM| 3 Answers
What is Sojourner Truth's attitude toward the Bible? A. She ...
Weegy: What is Sojourner Truth's attitude toward the Bible? Answer A: She says it's a tool of whites to explain that ...
1/6/2018 11:23:28 AM| 2 Answers
Simplify this expression: 19 – (–8) – (–14) = ? A. 25 ...
Weegy: 19 ? (?8) ? (?14)
1/15/2018 10:29:20 PM| 2 Answers
19. In which one of the following circumstances could the doctor ...
Weegy: The following circumstances could the doctor charge a premium: An emergency call at 1:30 A.M.
1/7/2018 10:15:00 AM| 2 Answers
what does irrelevant mean
Weegy: An irrelevant cost is a cost that will not change as the result of a management decision. User: Find the ...
1/8/2018 8:16:56 AM| 2 Answers
Which of these lines contains a metaphor? A. You are like a ...
Weegy: The line that contains a metaphor is: User: Repeating consonant sounds, typically the last letter of a word, ...
1/8/2018 3:55:57 PM| 2 Answers
Weegy Stuff
S
L
R
Points 408 [Total 700] Ratings 1 Comments 398 Invitations 0 Offline
S
P
L
P
Points 60 [Total 178] Ratings 0 Comments 60 Invitations 0 Offline
S
L
Points 43 [Total 4494] Ratings 0 Comments 23 Invitations 2 Offline
S
Points 17 [Total 17] Ratings 0 Comments 17 Invitations 0 Offline
S
Points 10 [Total 10] Ratings 0 Comments 0 Invitations 1 Offline
S
P
Points 5 [Total 44] Ratings 0 Comments 5 Invitations 0 Offline
S
Points 2 [Total 2] Ratings 0 Comments 2 Invitations 0 Offline
S
Points 1 [Total 1] Ratings 0 Comments 1 Invitations 0 Offline
S
P
L
Points 1 [Total 188] Ratings 0 Comments 1 Invitations 0 Offline
S
Points 1 [Total 1] Ratings 0 Comments 1 Invitations 0 Offline
* Excludes moderators and previous
winners (Include)
Home | Contact | Blog | About | Terms | Privacy | © Purple Inc.