I am torn between 32551 and 32422 Can anyone help ???
The area was cleaned and draped and anatomical landmarks were identified. A large bore triple lumen catheter guide wire needle was inserted into the fifth axillary space and the mid axillary line and the pleural space was entered. An immediate gush of air was obtained. Following this, a guidewire was inserted into the pleural space followed by a 10-1/2 French Cook pigtail type catheter. The pigtail was anchored in place. The pigtail was then attached to a connector, which was subsequently attached to a Pleurovac apparatus and connected to suction at -20 cm of water. The pigtail was anchored to the chest wall with the adhesive present with the chest tube and a Tegaderm dressing was applied. There were no apparent complications.
The area was cleaned and draped and anatomical landmarks were identified. A large bore triple lumen catheter guide wire needle was inserted into the fifth axillary space and the mid axillary line and the pleural space was entered. An immediate gush of air was obtained. Following this, a guidewire was inserted into the pleural space followed by a 10-1/2 French Cook pigtail type catheter. The pigtail was anchored in place. The pigtail was then attached to a connector, which was subsequently attached to a Pleurovac apparatus and connected to suction at -20 cm of water. The pigtail was anchored to the chest wall with the adhesive present with the chest tube and a Tegaderm dressing was applied. There were no apparent complications.