• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

op note help needed

heart123

Guru
Messages
248
Best answers
0
Laparoscopic placement of a peritoneal dialysis catheter( Flex-Neck Classic , 2 cuffs adult standard coiled- MeritMedical)

49324 is what i have anything else ??? THANKS SO MUCH

After induction of general endotracheal anesthesia, the abdomen was prepped and draped in standard surgical fashion. Attention was turned to the left upper quadrant where a 5 mm port was placed under vision with the cvamera in; The abdomen was insuflated with CO2 and the head of the bed was lowered.
The right lateral transverse incison was made over the rectus abdominus and dissection through the anterior layer of the muscle fascia was made: the Luke guide assembly is placed with the tip of the metal spear towards the pelvis with a 45 angle . The metal piece is then removed and the expandable sheath is left in place, secured with a clamp . Serial dialtion of the tract is made with lubrified dilators. The stylette is placed in saline and into the catheter and the catheter with the stylette inside is placed through the expandable sheath, all under vision towards the pelvis, taking care to maintain the curve of the catheter. The stylette is removed and the first cuff is advanced in the muscle with the help of the implantor tool. The tunellor tool is then used to tunel the catheter and the second , distal cuff in the sq. The position of the tip of the catheter is checked and then the abdomen is deflated.
 
Top