Cardiovascular / Pulmonary
Sample Name: Chest Tube Removal
Description: Bilateral pleural effusion. Removal of bilateral #32 French chest tubes with closure of wound.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSIS: Bilateral pleural effusion.
POSTOPERATIVE DIAGNOSIS: Bilateral pleural effusion.
PROCEDURE PERFORMED: Removal of bilateral #32-French chest tubes with closure of wound.
INDICATIONS FOR PROCEDURE: The patient is a 66-year-old African-American male who has been in the intensive care unit for over a month with bilateral chest tubes for chronic draining pleural effusions with serous drainage. A decision was made to proceed with removal of these chest tubes and because of the fistulous tracts, this necessitated to close the wounds with sutures. The patient was agreeable to proceed.
Keywords: cardiovascular / pulmonary, serous drainage, bilateral pleural effusion, pleural effusion, chest tubes, effusion, pleural, chest,