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with this elderly patient in the head down position, the entire left upper chest was prepared...

with this elderly patient in the head down position, the entire left upper chest was prepared with Betadine scrub and draped in the usual sterile fashion. Then 1% lidocaine was used for local anesthetic. A percutaneous Lee subclavian venous catheter was inserted without difficulty and 2nd at the skin level with 300 nylon, and a sterile dressing was applied. The catheter was also irrigated with Heparin solution. Patient tolerated the procedure well. Will follow up with a chest x-ray.

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Answer #1

The chest X Ray is dine in order to confirm the presence of the catheter tip at the right site.It is usually situated in the superior vena cava.The medication can be administered immediately when it is in the patenct site.

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