NEPHROSTOMY TUBE PLACEMENT

Equipment Always Necessary:

  • US probe cover
  • Neph set
  • Echo-tip needle 21G
  • Wire: Amplatz 75cm
  • 10.5Fr x 25cm MP catheter
  • 10 Fr dilator
  • Drainage bags - should have two extra bags to give to the patient.
  • Short 12 inch extension
  • Contrast
  • 2-0 nylon suture

 

PREP:

  • Position: Position
  • For left and bilateral nephrostomies, set the equipment on the left side of the patient. For right nephrostomies, place the equipment on the right side of the patient. 
  • Prep large area. If possible it is a good idea to US ahead of time and mark spot. It is usually lower than you think !
  • Need scout image

If a stent will be placed:

  • 5Fr 40cm KMP catheter
  • 6Fr sheath
  • Bentson wire
  • 180cm Amplatz wire
  • Draw a ruler on the table

 

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PEARLS:

  • Be prepared to give at least two extra bags to the patients. 
  • In pregnant patients, we do the procedure in supine position with a wedge.