Cardiovascular / Pulmonary
Sample Name: Chest Tube Insertion
Description: Right hemothorax. Insertion of a #32 French chest tube on the right hemithorax. This is a 54-year-old female with a newly diagnosed carcinoma of the cervix. The patient is to have an Infuse-A-Port insertion.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSIS: Right hemothorax.
POSTOPERATIVE DIAGNOSIS: Right hemothorax.
PROCEDURE PERFORMED: Insertion of a #32 French chest tube on the right hemithorax.
ANESTHESIA: 1% Lidocaine and sedation.
INDICATIONS FOR PROCEDURE: This is a 54-year-old female with a newly diagnosed carcinoma of the cervix. The patient is to have an Infuse-A-Port insertion today. Postoperatively from that, she started having a blood tinged pink frothy sputum. Chest x-ray was obtained and showed evidence of a hemothorax on the right hand side, opposite side of the Infuse-A-Port and a wider mediastinum. The decision was made to place a chest tube in the right hemithorax to allow for the patient to be stable for transfer out of the operating room.
Keywords: cardiovascular / pulmonary, hemothorax, hemithorax, pleur-evac device, infuse-a-port insertion, chest tube, carcinoma,