Shirleybala
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Hello all:
For the below mentioned documentation is 32422 is suffice or 32551 should be added please confirm.
The right chest wall, along the mid axillary line, was then
prepped and draped in the usual sterile fashion. After the
administration of local anesthesia and under CT guidance, access
into the pleural effusion was obtained with an 18 gauge needle.
Several cc's of serosanguinous transudative material was
aspirated. Samples were given to Dr. Guend, the house officer
caring for the patient, for culture and sensitivity.
An Amplatz wire was advanced through the needle and coiled within
the collection. The needle was removed and serial dilatation of
the tract was performed. An 8 French multi-sidehole pigtail
drainage catheter was then advanced over the wire and positioned
with its distal pigtail coiled within the pleural effusion.
Approximately 850 cc of serosanguinous transudative fluid was then
aspirated.
Impression:
CT guided aspiration of a right-sided pleural effusion as
described above
Successful placement of an 8 French multi-sidehole pigtail
drainage catheter thoracostomy tube as described above
For the below mentioned documentation is 32422 is suffice or 32551 should be added please confirm.
The right chest wall, along the mid axillary line, was then
prepped and draped in the usual sterile fashion. After the
administration of local anesthesia and under CT guidance, access
into the pleural effusion was obtained with an 18 gauge needle.
Several cc's of serosanguinous transudative material was
aspirated. Samples were given to Dr. Guend, the house officer
caring for the patient, for culture and sensitivity.
An Amplatz wire was advanced through the needle and coiled within
the collection. The needle was removed and serial dilatation of
the tract was performed. An 8 French multi-sidehole pigtail
drainage catheter was then advanced over the wire and positioned
with its distal pigtail coiled within the pleural effusion.
Approximately 850 cc of serosanguinous transudative fluid was then
aspirated.
Impression:
CT guided aspiration of a right-sided pleural effusion as
described above
Successful placement of an 8 French multi-sidehole pigtail
drainage catheter thoracostomy tube as described above