Sample Type / Medical Specialty: Cardiovascular / Pulmonary
Sample Name: Double Lumen Port Inserstion
Description: Insertion of a double lumen port through the left femoral vein, radiological guidance. Open exploration of the left subclavian and axillary vein. Metastatic glossal carcinoma, needing chemotherapy and a port.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSIS: Metastatic glossal carcinoma, needing chemotherapy and a port.
POSTOPERATIVE DIAGNOSIS: Metastatic glossal carcinoma, needing chemotherapy and a port.
1. Open exploration of the left subclavian/axillary vein.
2. Insertion of a double lumen port through the left femoral vein, radiological guidance.
DESCRIPTION OF PROCEDURE: After obtaining the informed consent, the patient was electively taken to the operating room, where he underwent a general anesthetic through his tracheostomy. The left deltopectoral and cervical areas were prepped and draped in the usual fashion. Local anesthetic was infiltrated in the area. There was some evidence that surgical procedure had happened in the area nearby and also there was collateral venous circulation under the skin, which made us suspicious that may be __________, but at any rate I tried to cannulate it subcutaneously and I was unsuccessful. Therefore, I proceeded to make an incision and was able to isolate the vein, which would look very sclerotic. I tried to cannulate it, but I could not advance the wire.
The patient tolerated the procedure well and was sent back to recovery room in satisfactory condition.
Keywords: cardiovascular / pulmonary, axillary, vein, subclavian, double lumen port, femoral vein, radiological guidance, glossal carcinoma, port, inserstion, femoral, radiological, metastatic, carcinoma, chemotherapy, anesthetic, catheter,