Subcutaneous Implantable Cardiac Defibrillator (S-ICD)

Subcutaneous Implantable Cardiac Defibrillator (S-ICD)

Done under General Anaesthetic

Basic Kits:

1 Barts Device Pack

2 Chloraprep (10mL)

1 Ioban

1 Medium Image Intensifier cover

1 Diathermy pen

1 scratch pad

1 500mL NaCL bag (sterile)

Sutures: (operator preference)

2 Ethibond (for securing leads)

1 Vicryl tie (for cephalic approach)

1 PDS 2-0 or 3-0, or monocryl 3-0, or vicryl 2-0 (for deep tissue curve suture)

1 Monocryl curve 4-0 or 3-0, or Monocryl straight 3-0 (for skin suturing)

1 Steristrip

1 Softpore dressing

For S-ICD Implant (Basic kits + addtional equipment)

Note: usually done under General Anaesthetic but if MD wants to do it under nerve block, they will need:

1 Peripheral Ultrasound

1 Probe cover

2 Chloraprep (Large)

1 Nerve block needle with 2 ports

Chirocaine (Levobupivacaine), Marcaine, Lidocaine

*need special arm board to abduct the left arm, INCOPAD - to secure arm on the arm board

*special drape - 5pcs drape (arm, 2 sides, 1 leg, 1 head)

*additional sutures:

2 Ethibonds

2 PDS 2-0 or 3-0, or monocryl 3-0, or vicryl 2-0 (for deep tissue curve suture)

2 Softpore dressings