Nephrostomy tube placement sample dictation
Procedure: Fluoroscopically guided placement of [left] nephrostomy tube.
After informed consent was obtained, the patient was placed prone on the fluoroscopy table. The [left] flank was prepped and draped in a sterile fashion. After administration local anesthesia and under ultrasound guidance, a lower pole calix of the [left] kidney was punctured with a 21 gauge needle. After a series of exchanges a 6 French introducer catheter was placed in the [left] renal pelvis. A guidewire was then advanced into the [left] renal pelvis. The intoducer was exchanged over the wire. A  French APD was placed within the [left] renal pelvis. The cathter was sutured to the patient's skin and a sterile dressing was applied.
Initial ultrasound images demonstrate [moderate left hydronephrosis ]. Pyelogram images confirm the hydronephrosis .
Final images demonstrate an  French APD within the left renal pelvis.
Dr. , the attending interventional radiologist, was present for the critical portions of the procedure and reviewed all images obtained.
Medications: Versed [ ] mg IV, Fentanyl [ ] ug IV.
Successful placement of [left] 8 French nephrostomy tube.