Atrial Fibrillation
Improving Electrophysiology Lab Efficiency: Collaboration With Anesthesiology is Well Worth the Time
Journal Articles: Many of the efforts to improve laboratory efficiency require close collaboration with our colleagues in anesthesia. Osorio et al1 outlined a standardized anesthetic protocol that was designed with the intention of improving effectiveness of lesion formation during AF ablation while also improving efficiency and ensuring patient safety.
Care Pathways/CDS: Clinical Pathway for Suspected AF
Procedure in the Event of Suspected Bleeding Complications after Punctures (Femoral Artery, Radial Artery, Brachial Artery, CVC)
SOP for Pericardial Effusion or Tamponade after AFib ablation procedure. Includes, steps to take with suspected tamponade, materials, and instructions.
SOP for oral anticoagulation for AFib patients with or without PVI. Includes flow chart, breakdown of CHADSVASC, dosage chart, and explanation of TEE management before PVI.
Education – Clinical: Workflow for deep analgesic sedation in the EPU laboratory. Includes medications, monitoring, and ACT control.
Bradycardia/AV Block During Pulmonary Vein Isolation
Best Practices: SOP for acute therapeutic treatment of stroke. Includes decision tree and exclusion criteria for thrombolysis.
Care Pathways/CDS: SOP for therapy options when treating AFib. Includes flow chart, decision trees, chart for AAD dosage, and risk factors/comorbidities.
SOP for treating Permanent AFib patients via rate control. Includes flow chart, eligibility criteria, and therapies.