OPERATIVE REPORT PREOPERATIVE DIAGNOSIS: Acute Myocardial Infarction, Congestive Heart Failure with Hypotension

question 65

Short Answer

OPERATIVE REPORT
PREOPERATIVE DIAGNOSIS: Acute myocardial infarction, congestive heart failure with hypotension.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE_.PERFORMED: Insertion of Swan-Ganz (flow-directed) catheter.
PROCEDURE: Consent was obtained from his sister. Right neck area was prepped. Sterile drapes were applied. Under sterile gowns and technique, right internal jugular vein was identified with 22-gauge needle from medial approach. 18-gauge catheter was inserted into the vein. A guidewire was passed through the vein. 9-French introducer was inserted over the guidewire without difficulty. 7.5-French catheter was inserted. Right atrial pressures were 16, right ventricular pressure 34/10, pulmonary artery pressure 36/22 with a wedge pressure of 18. The patient tolerated the procedure well.
CPT Code: ____________________

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Definitions:

Unnecessary

Something not needed or deemed superfluous in a given context or situation.

Wanton Pain

The infliction of severe discomfort or pain on someone intentionally and without regard for their well-being.

Suffering

The experience of physical, emotional, or psychological pain and distress, often as a result of adverse circumstances or conditions.

Massachusetts

A state in the northeastern United States, known for its significant historical, academic, and technological influence.