{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\froman\fcharset0 Times New Roman;}{\f1\fnil\fcharset0 Verdana;}{\f2\fnil\fcharset0 Times New\'0a ;}{\f3\fswiss\fcharset0 Arial;}} {\colortbl ;\red0\green0\blue0;\red0\green0\blue128;} {\*\generator Msftedit 5.41.15.1507;}\viewkind4\uc1\pard\sb100\sa100\cf1\ul\b\f0\fs24 OPERATIVE REPORT\cf2\ulnone\b0\f1\fs20\par \cf1\b\f0\fs24 Patient Name: XXXXX\b0 \cf2\f1\fs20\par \cf1\b\f0\fs24 Hospital No.: XXXX\cf2\b0\f1\fs20\par \cf1\b\f0\fs24 Date of Surgery: \b0 03/25/2006\cf2\f1\fs20\par \cf1\b\f0\fs24 Admitting Physician: \b0 Lisa Kelly, M.D.\cf2\f1\fs20\par \cf1\b\f0\fs24 Surgeons:\b0 Wong Delgato, M.D.\cf2\f1\fs20\par \cf1\b\f0\fs24 Preoperative Diagnosis: \b0 Tachybrady Syndrome.\cf2\f1\fs20\par \cf1\b\f0\fs24 Postoperative Diagnosis: \b0 Tachybrady Syndrome\b .\cf2\b0\f1\fs20\par \cf1\b\f0\fs24 Operative Procedure:\b0 Insertion Transvenous Pacemaker.\cf2\f1\fs20\par \cf1\b\f0\fs24 Anesthesia: \b0 Local\cf2\f1\fs20\par \cf1\f0\fs24 PROCEDURE AND GROSS FINDINGS: The patient\f1 =\f0 s chest was prepped with Betadine solution and a small amount of Lidocaine infiltrated. In the left subclavian region, a subclavian stick was performed without difficulty, and a wire was inserted. Fluoroscopy confirmed the presence of the wire in the superior vena cava. An introducer was then placed over the wire. The wire was removed and replace by a ventricular lead that was seated under Fluoroscopy. Following calibration, the lead was attached to a pacemaker generator that was inserted in a subcutaneous pocket in the left subclavian area. \cf2\f1\fs20\par \cf1\f0\fs24 The subcutaneous tissues were irrigated and closed with Interrupted 4-O Vicryl, and the skin was closed with staples. Sterile dressings were placed, and the patient was returned to the ICU in good condition. \cf2\f1\fs20\par \cf1\ul\f2\fs24 _________________________\cf2\ulnone\f1\fs20\par \cf1\f0\fs24 Wong Delgato, M.D.\cf2\f1\fs20\par \cf1\f0\fs24 WD:mw\cf2\f1\fs20\par \cf1\f0\fs24 D:03/25/2006\cf2\f1\fs20\par \cf1\f0\fs24 T:03/25/2006 \cf2\f1\fs20\par \pard\cf0\f3\par }