ljones88
Networker
Hi all,
I'm leaning towards 20100 but wanted other's input. A patient was attempting to inject a drug in their neck and the needle broke off. The doctor states the needle tip was found in the deeper tissues of the right supraclavicular fossa deep to the superficial muscle layers above the right clavicle.
Op report reads:
The patient was placed on the OR table in the supine position. The patient was anesthetized and intubated. A roll was placed beneath the shoulders. The right neck and chest was prepped and draped in a sterile fashion. A surgical time-out was called. A transverse incision was made directed over the wound in the neck above the right clavicle. The deeper layers were opened with a Bovie. A Weitlaner retractor was inserted and the deeper tissues were dissected with a Metzenbaum scissors beneath the right cephalic vein. The needle tip was identified and extracted easily. The wound was irrigated with saline solution. The needle was sent to pathology and soft tissue was send for culture. The wound edges were debrided and was closed in layers with running Vicryl sutures. The skin was closed with a running Monocryl suture. A sterile dressing was placed over the incision and he patient was extubated and sent to the recovery room in stable condition.
Thanks!
I'm leaning towards 20100 but wanted other's input. A patient was attempting to inject a drug in their neck and the needle broke off. The doctor states the needle tip was found in the deeper tissues of the right supraclavicular fossa deep to the superficial muscle layers above the right clavicle.
Op report reads:
The patient was placed on the OR table in the supine position. The patient was anesthetized and intubated. A roll was placed beneath the shoulders. The right neck and chest was prepped and draped in a sterile fashion. A surgical time-out was called. A transverse incision was made directed over the wound in the neck above the right clavicle. The deeper layers were opened with a Bovie. A Weitlaner retractor was inserted and the deeper tissues were dissected with a Metzenbaum scissors beneath the right cephalic vein. The needle tip was identified and extracted easily. The wound was irrigated with saline solution. The needle was sent to pathology and soft tissue was send for culture. The wound edges were debrided and was closed in layers with running Vicryl sutures. The skin was closed with a running Monocryl suture. A sterile dressing was placed over the incision and he patient was extubated and sent to the recovery room in stable condition.
Thanks!
