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Rt Internal Jugular: Hickman Catheter Placement and Port Removal
Date: Aug 29, 2012
Question:
My question this time is on CVC placement and Port Removal via the internal jugular vein. Can you clarify for me when this is performed in the same vein would this be consider an Exchange or Removal with Placement of “new”? Indicated below is how the dictation is worded:
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. . . . . indwelling port was removed en-bloc using a combination of sharp and blunt dissection. The port pocket was flushed with antibiotic solution. The pocket was closed with interrupted 2-0 and subcuticular 4-0 Polysorb suture.
The right internal jugular vein was accessed, . . . . . . . . the double lumen Hickman catheter was then tunneled through the subcutaneous tissues of the right chest, . . . . .terminated in the superior caval atrial junction. The catheter was aspirated and flushed . . . . . .
Rt internal jugular PortaCath removal. Successful right internal jugular Hickman catheter placed.
________________________________________________________________________________________________________________________________________________________
. . . . . indwelling port was removed en-bloc using a combination of sharp and blunt dissection. The port pocket was flushed with antibiotic solution. The pocket was closed with interrupted 2-0 and subcuticular 4-0 Polysorb suture.
The right internal jugular vein was accessed, . . . . . . . . the double lumen Hickman catheter was then tunneled through the subcutaneous tissues of the right chest, . . . . .terminated in the superior caval atrial junction. The catheter was aspirated and flushed . . . . . .
Rt internal jugular PortaCath removal. Successful right internal jugular Hickman catheter placed.
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