MEDI-PORT PLACEMENT

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PREOP:

  • Check coags
  • Check WBC (if abn usually we prefer nontunn. cath
  •  Antibiotics: Always

Equipment Always Necessary:

  • Bard Power port MRI compatiple
  • Micropuncture
  • Delicate surgical tray 
  • Pen
  • 2-0 Vycril suture
  • 4-0 caprosyn suture
  • Dermabond
  • Heparin 100u/ml (~5cc)

 

PREP:

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  • POSITION: Supine
  • DRAPE: Thyroid drape
  • 3M Ioband 
  • US and probe cover
  • Bovie Cautery
  • Need scout image

Stand by Equipment

  • 5Fr 40cm KMP catheter
  • Contrast - if difficult access may need venogram

 

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Dressing:

  • NO DRESSING !!!!!!

PEARLS:

  • In general, the preference is the RIJ.  Will use the left if RIJ infected/occluded.
  • Will avoid pacemaker side.