mmelcam
Expert
Can someone please help me out with this. I get really confused when it comes to venous catheterization vs hemodialysis access. Is there an easy way to figure these out??? Operative note reads...
Preoperative diagnosis: Renal Failure
Postoperative diagnosis: Renal Failure
Procedure: Placement of a Quinton Catheter in the right IJ
Description of Procedure: The patient was placed in a recumbent position. The patient was sterilely prepped and draped of the patient's right neck, we then accessed the internal jugular vein using a 22-guage needle and then adjacent to this, placed a large bore needle 18-gauge needle and passing wire through this and then dilated over the wire. Then placed a Quinton catheter over the wire. We then aspiated both ports, flushed with normal saline, and then sutured in place. Dressings were Applied. The patient tolerated the procedure well.
I am sure I am making this harder than it is. I would appreciate any help I can get. Thanks.
Preoperative diagnosis: Renal Failure
Postoperative diagnosis: Renal Failure
Procedure: Placement of a Quinton Catheter in the right IJ
Description of Procedure: The patient was placed in a recumbent position. The patient was sterilely prepped and draped of the patient's right neck, we then accessed the internal jugular vein using a 22-guage needle and then adjacent to this, placed a large bore needle 18-gauge needle and passing wire through this and then dilated over the wire. Then placed a Quinton catheter over the wire. We then aspiated both ports, flushed with normal saline, and then sutured in place. Dressings were Applied. The patient tolerated the procedure well.
I am sure I am making this harder than it is. I would appreciate any help I can get. Thanks.
