CHEST PORT PLACEMENT

HISTORY:  Lung cancer. Needs chest port for chemotherapy.

DESCRIPTION:  Utilizing sterile technique and fluoroscopic control, a double-lumen chest port was inserted subcutaneously within the right anterior chest wall.  The catheter enters the right internal jugular vein and terminates within the right atrium of the heart. Subcutaneous sutures were used to close the incision.

Intravenous midazolam and fentanyl were administered for conscious sedation during continuous monitoring of the blood pressure, pulse rate, and oxygen saturation.  The patient tolerated the procedure well.

IMPRESSION:  Successful placement of Groshong chest port. 

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