• Correct all electrolytes pre-flight to include potassium, magnesium, calcium and phosphorous.
  •  Patient should have arterial lines for beat-to-beat pressure monitoring and frequent blood draws for evaluation of acid-base status and electrolytes
  •  Additional central venous access should be obtained if possible
  •  Obtain and prepare infusions of chronotropic medications as pharmacologic backup
  •  If unfamiliar or uncomfortable for cardiac pacing, consider augmenting your team with a member who is, and/or calling the ADVISOR hotline