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PROCEDURE: DATE OF PROCEDURE: CLINICAL INDICATION: OPERATING PHYSICIAN: [] ACCESS SITE: Right common femoral artery MEDICATIONS: Versed mg IV Fentanyl mcg IV CONTRAST: cc’ s Visipaque 320 COMPLICATIONS: None …
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PROCEDURES: Cholangiography through existing drainage catheter Biliary drain removal INDICATION: History of cholecystectomy and gastric bypass with postoperative choledocholithiasis. Status post percutaneous stone sweeping and cholangioplasty complicated by hepatic artery pseudoaneurysm status post coil…
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Procedures: Cholangiogram through existing catheter Biliary covered metallic stent placement Biliary catheter replacement Indication: Pancreatic cancer and biliary obstruction Date: Operators: Medications: mg IV Versed, mcg IV fentanyl and 3.375 gm…
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BILIARY CHECK/CHANGE FOR ANCHOR Patient Name: <<Patient Last Name>>, <<Patient First Name>> DOB: <<Patient DOB>> SEX: <<Patient Sex>> Ordering Physician: <<Ordering Last Name>>, <<Ordering First Name>> PROCEDURE: Sheath cholangiogram Biliary catheter exchange INDICATION:…
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Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Cholangiogram through existing catheter Biliary catheter replacement INDICATION: DATE: OPERATORS: John Doe, MD (Attending)/Jane Doe, MD (Fellow)…
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Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Sheath cholangiogram Biliary catheter replacement INDICATION: DATE: OPERATORS: John Doe, MD (Attending)/Jane Doe, MD (Fellow) …
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PROCEDURES: Cholangiography through existing drainage catheter Biliary drain removal INDICATION: OPERATORS: John Doe, MD (Attending)/Jane Doe, MD (Fellow) MEDICATIONS: Versed mg IV, Fentanyl mcg IV, Zosyn 4.5 mg…
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Procedure: Retrograde 18 F APDL percutaneous gastrostomy tube placement Indication: Soft Palate SCCa post subtotal glossectomy Date: 1/01/2022 Operators: John Doe, MD (Attending)/Jane Doe, MD (Fellow) Medications: 2 mg IV glucagon, 1…
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Procedure: Power injectable chest port placement with imaging Date: 5/16/2022 Indication: Access site: Right internal jugular with ultrasound Operator: John Doe, MD (Attending)/Jane Doe, MD (Fellow) Medications: 1 gram IV Ancef,…
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Procedure: Percutaneous antegrade gastrostomy tube placement Indication: Altered Mental Status; Date: Operators: John Doe, MD (Attending)/Jane Doe, MD (Fellow) Medications: 1 mg IV glucagon, 600 mg IV Clindamycin, 4 mg IV Zofran,…
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