35820 or 33025? in global of cabg however pt sustained cardopulmonary arrest and prompted this emergency procedure.
DESCRIPTION OF PROCEDURE: The patient was placed in supine position in her bed in the Intensive care unit. The skin of the chest was prepped and draped in the usual sterile manner. The mediastinum was entered through the previously
performed mid sternotomy incision. Clots were immediately removed and the
patient regained blood pressure. Anatropes were being given simultaneously. A
bleeder was found near the area where one of the pacing wires was. A small
portion of pericardium was used to alter a small Prolene suture, which was
utilized to obtain hemostasis and hemostasis. Clots were removed from the
pericardium. The cavity was irrigated with warm solution and added with
antibiotics. The area was carefully irrigated. The sternum was then
approximated with heavy interrupted stainless steel wires and 3 plastic bands.
The fascia and subcutaneous tissue were approximated with 0 Vicryl and the skin
with staples. The patient recovered function adequately and in the process
anatropes were substantially decreased. At the completion of the operation, the
patient had good neurological response. Two chest tubes were placed in the
mediastinum prior to closing the chest. Drainage through the chest tubes was
minimal at the completion of the procedure and the first couple of hours
DESCRIPTION OF PROCEDURE: The patient was placed in supine position in her bed in the Intensive care unit. The skin of the chest was prepped and draped in the usual sterile manner. The mediastinum was entered through the previously
performed mid sternotomy incision. Clots were immediately removed and the
patient regained blood pressure. Anatropes were being given simultaneously. A
bleeder was found near the area where one of the pacing wires was. A small
portion of pericardium was used to alter a small Prolene suture, which was
utilized to obtain hemostasis and hemostasis. Clots were removed from the
pericardium. The cavity was irrigated with warm solution and added with
antibiotics. The area was carefully irrigated. The sternum was then
approximated with heavy interrupted stainless steel wires and 3 plastic bands.
The fascia and subcutaneous tissue were approximated with 0 Vicryl and the skin
with staples. The patient recovered function adequately and in the process
anatropes were substantially decreased. At the completion of the operation, the
patient had good neurological response. Two chest tubes were placed in the
mediastinum prior to closing the chest. Drainage through the chest tubes was
minimal at the completion of the procedure and the first couple of hours