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Drainage of chest wall collection

Date: Jan 4, 2012

Question:

History: Patient with left chest wall collection here for drainage Procedure: Left chest wall fluid collection drainage with 10-French tube Informed consent was obtained. Risks and possible complications were described in detail. The patient's left chest wall fluid collection was identified and drained with a 5-French needle. We then advanced over wire and placed a 10-French tube. 30 cc of purulent material were removed and sent for testing. Repeat ultrasound confirmed residual fluid and septations. The drain was secured to the skin and we placed some TPA with one hour dwell time in the holding room. The patient will receive one week of antibiotics and will follow with Dr. Gates in pulmonary clinic. Please note the patient was sedated for 30 minutes using 4 mg of Versed and 200 mcg of fentanyl. Impression: Successful left chest wall abscess drainage.
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