HISTORY:
CT DOSE:
SEDATION: Monitored by the IR registered nurse or surrogate, an independent trained observer providing Moderate Sedation with fentanyl.
CONSENT: Following discussion procedure its risks benefits (including bleeding and vessel damage) and alternatives, review of readily available relevant imaging prior to the procedure informed consent was obtained witnessed and documented upon the chart. Standard presurgical timeout confirming patient procedure and when relevant side and site was performed. Any discrepancies were resolved via consultation with appropriate readily available data sources. The patient was prepared and draped in standard sterile fashion.
TECHNIQUE:
Written and oral consent was obtained after discussing risk, benefits, and alternatives, prior to the procedure. Patient decided to proceed with the procedure. Timeout was performed per protocol.
Conscious sedation using fentanyl was provided by certified nursing staff after normal head/neck and cardiopulmonary exam. ASA 2
Procedure was done under sterile technique and local anesthesia using 1 % lidocaine.
The target right lung lesion was localized using CT.
17/18 gauge coaxial system was used. 18 gauge cores were obtained. A pleural plug was then placed. The incision was covered with a curad/xeroform petrolium gauze and a tegaderm.
The patient tolerated the procedure well. There were no immediate complications. Patient will undergo serial chest X rays to rule out development of pneumothorax .
IMPRESSION:
Successful CT guided core biopsy of the right lung lesion.
Frequently Asked Questions
What is a CT-guided lung biopsy?
A CT-guided lung biopsy is a procedure where a small sample of lung tissue is removed using a needle guided by computed tomography (CT) imaging. This technique helps doctors diagnose lung conditions like cancer or infections by providing a precise view of the lung area to be sampled.
How is sedation managed during a CT-guided lung biopsy?
During a CT-guided lung biopsy, moderate sedation is typically administered. This involves using medications like fentanyl to help the patient relax and minimize discomfort. The sedation is monitored by a registered nurse or trained observer to ensure the patient's safety throughout the procedure.
What are the risks of a CT-guided lung biopsy?
The risks of a CT-guided lung biopsy include bleeding, infection, and pneumothorax (collapsed lung). These risks are typically low, and the procedure is generally safe when performed by experienced medical professionals. Patients are closely monitored for any complications during and after the biopsy.
Why is a pleural plug used in a lung biopsy?
A pleural plug is used during a lung biopsy to seal the pathway created by the biopsy needle. This helps prevent air from entering the pleural space, reducing the risk of pneumothorax, which is a potential complication where air leaks into the space around the lungs.
How should a patient prepare for a CT-guided lung biopsy?
Before a CT-guided lung biopsy, patients should follow specific instructions from their healthcare provider, which may include fasting for a certain period. It's also important to discuss any medications being taken, as some may need to be paused. Patients should arrange for someone to drive them home after the procedure due to the sedative effects.
What happens after a CT-guided lung biopsy?
After a CT-guided lung biopsy, the patient will be monitored for a short period to ensure there are no immediate complications. Follow-up care typically includes chest X-rays to check for pneumothorax and instructions regarding activity restrictions and signs of complications to watch for at home.
Informed consent for a lung biopsy involves discussing the procedure's risks, benefits, and alternatives with the patient. The patient must understand this information and agree to proceed with the procedure. This consent is documented in the patient's medical records prior to the biopsy.