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Operator explaining before implantation
Informed consent OK
Family (Adult ) company with the patient
Sign permit for extra fee ,such as MRI Lead and
1. Blood tests to evaluate the blood clotting
( PT/APTT),CBC/DC and blood chemical
2. To stop taking some of medications before
3. Do not eat or drink after midnight the day of the
4. To set up intravenous fluids.
5. Remove all make up ,nail polish, jewelry,
watches ,artificial teeth and valuables, etc.
6. Skin preparing: Using 75% Clear the operation site
and then cover with a gauze.
7. Shaving the groins for TPM in case.
Implant Procedure Special for ICD
• Make sure IV line fluency and BP/SpO2
• Sedation given and con’s
• Be prepared to deliver RESCUE shock if ICD therapy is
unsuccessful ， external defibrillator stand by.
• Check IEGM for appropriate sensing and detection
• After therapy- Review delivered energies, charge time,
• Allow for patient recovery between tests- Suggested time 3 to