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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 her room in good condition.
CPT Code: ____________________
Superego
In psychoanalytic theory, the part of the personality that acts as a moral center, incorporating the values of society.
Superego
The part of a person's mind that acts as a self-critical conscience, reflecting social standards learned from parents and teachers.
Id
A term in psychoanalytic theory referring to the part of the unconscious personality which contains our primal, instinctive desires and drives.
Ego
A psychoanalytic term referring to the part of the mind that mediates between the conscious and the unconscious and is responsible for reality testing and a sense of personal identity.
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