MEDI-PORT PLACEMENT
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:
- 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
Dressing:
- NO DRESSING !!!!!!
PEARLS:
- In general, the preference is the RIJ. Will use the left if RIJ infected/occluded.
- Will avoid pacemaker side.