hip drainage confused


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After written informed consent was obtained, the patient was brought to the CT suite for placement of a drainage catheter into an infected hip. The patient was positioned in the left lateral decubitus position and a preliminary CT scan was done. An access site was selected. The site was prepped and draped in a sterile manner. One percent lidocaine was used to anesthetize the skin and subcutaneous tissues. An 18 G Chiba needle was advanced into the collection. Nothing could be aspirated. An Amplatz superstiff wire was advanced through the needle and into the collection. The needle was exchanged for 9 F, 11 F then 14 F dilators which were advanced over the wire and into the collection. A 14 F all purpose drainage catheter was advanced over the wire and into the collection. The wire and inner stiffener were removed and the pigtail formed. Nothing could be aspirated from the tube; this was discussed with the team and it was decided to leave the tube in place to provide an exit route for the material should it liquify. The tube was secured to the skin with 2.0 silk suture and a StayFix. The catheter was connected to a bag for suction drainage. The postprocedure CT scan showed that the tube was in a good position. The patient tolerated the procedure well without complication. The patient left the department in the same condition in which he presented.

IMPRESSION: Status post placement of 14 F all purpose drainage catheter into infected hip.