Thoracotomy was initiated the pleural cavity was entered and the pleural effusion was removed and specimens were sent fo culture and sensitivity. We noticed immediately that the lung was wailling off the abscess. The lung was separated and the abscess was entered. Purulent material was obtained. Cultures were sent. Gram stains cam back as Gram positive occci and nowhite cells. The abscess was debrided. The area was irrigated with 3 liters of saline with vancomycin with a pulse irrigator. After this was completed and total hemostasis was ascertained, a Jackson-Pratt was sututed in place in the area of the abscess and brought out through the same incision. A chest tube was inserted into the cavity. Intercostal nerve cryolysis was performed at the level of incision, one level above and onle below. A pain pump was inserted in the usual manner. The fascia and subcutaneous tissue were approximated with 2-0 Vicryl and the skin with staples. The patient tolerated procedure well and was transferred to the recovery room in critial but stable condition.
Can anyone help with the CPT?????
Can anyone help with the CPT?????