TWilliam2019
Guru
Procedure list in detail:
Placement of right internal jugular tunneled central venous catheter
limited central venous venogram/catheterogram postplacement
ultrasound-guided puncture of the right internal jugular vein
Procedure Details:
Patient was placed in supine position and the right neck and chest were prepped and draped. The right internal jugular vein was imaged using duplex imaging. The vein was compressible and free of any internal echogenic densities. Vein was confirmed to be patent and a site selected for micropuncture access. Under real-time ultrasound imaging needle was advanced into the right internal jugular vein. Documentation was submitted. Microwire was placed into the right atrium followed by placement of a micro-sheath and upsized to an 035 wire. PowerPort system peel-away sheath was then introduced over the wire under fluoroscopy. Catheter was then premeasured by laying it out on the chest. Catheter was then cut to appropriate length. Skin was infiltrated with local over the anterior chest wall. Catheter was then retrograde tunneled to the access site on the right neck. Catheter was passed to the peel-away sheath and peel-away sheath removed. Catheter aspirated and flushed freely. Catheterogram in a limited central venous venogram was performed which showed free flow contrast into the proximal SVC. Catheter was secured at skin level and the access site closed.
WOULD 36558 BE CORRECT FOR THIS NOT sure ABOUT THE VENOGRAM
Placement of right internal jugular tunneled central venous catheter
limited central venous venogram/catheterogram postplacement
ultrasound-guided puncture of the right internal jugular vein
Procedure Details:
Patient was placed in supine position and the right neck and chest were prepped and draped. The right internal jugular vein was imaged using duplex imaging. The vein was compressible and free of any internal echogenic densities. Vein was confirmed to be patent and a site selected for micropuncture access. Under real-time ultrasound imaging needle was advanced into the right internal jugular vein. Documentation was submitted. Microwire was placed into the right atrium followed by placement of a micro-sheath and upsized to an 035 wire. PowerPort system peel-away sheath was then introduced over the wire under fluoroscopy. Catheter was then premeasured by laying it out on the chest. Catheter was then cut to appropriate length. Skin was infiltrated with local over the anterior chest wall. Catheter was then retrograde tunneled to the access site on the right neck. Catheter was passed to the peel-away sheath and peel-away sheath removed. Catheter aspirated and flushed freely. Catheterogram in a limited central venous venogram was performed which showed free flow contrast into the proximal SVC. Catheter was secured at skin level and the access site closed.
WOULD 36558 BE CORRECT FOR THIS NOT sure ABOUT THE VENOGRAM