Port removal sample dictation

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Radiologists: []


History: []


Procedure: Removal of [right] double lumen venous access port.


Technique: Informed consent was obtained. The patient was identified and placed in the supine position. The [right] side of the neck and chest was prepped and draped in the usual sterile fashion. 1% lidocaine with epinephrine local anesthesia was administered to the right chest wall. An incision was made and blunt dissection was performed. The Medi -Port and catheter were removed.


Wound closure was accomplished using interrupted 4-0 Vicryl subcuticular stitches, followed by a running 4-0 Vicryl subcuticular stitch and Dermabond . The wound was dressed. The patient tolerated the procedure well.


Dr. [], the attending interventional radiologist, was present for the critical portions of the procedure and reviewed all images obtained.


Medications: Fentanyl [ ] mcg IV, versed [ ] mg IV


Impression:


Uncomplicated removal a [right] internal jugular vein, double lumen venous access port.