Sample Type / Medical Specialty: Surgery
Sample Name: Central Line Insertion
Description: Central line insertion. Empyema thoracis and need for intravenous antibiotics.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSES1. Empyema thoracis.
2. Need for intravenous antibiotics.
POSTOPERATIVE DIAGNOSES1. Empyema thoracis.
2. Need for intravenous antibiotics.
PROCEDURE: Central line insertion.
DESCRIPTION OF PROCEDURE: With the patient in his room, after obtaining the informed consent, his left deltopectoral area was prepped and draped in the usual fashion. Xylocaine 1% was infiltrated and with the patient in the Trendelenburg position, the left subclavian vein was subcutaneously cannulated without any difficulty. The triple-lumen catheter was inserted and all ports were flushed out and were irrigated with normal saline. The catheter was fixed to the skin with sutures. The dressing was applied and then the chest x-ray was obtained which showed no complications of the procedure and good position of the catheter.
Keywords:
surgery, thoracis, intravenous, central line insertion, empyema, catheter,
NOTE: These
transcribed medical transcription sample reports and examples are provided by various users and
are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports.
These transcribed medical transcription sample reports may include some uncommon or unusual formats;
this would be due to the preference of the dictating physician. All names and dates have been
changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or
place or anything else to real world is purely incidental.