Location: Inpatient Hospital OPERATIVE REPORT

Short Answer

Location: Inpatient Hospital
OPERATIVE REPORT
INDICATION: Cardiogenic shock and the need to initiate mechanical ventilation.
PROCEDURE PERFORMED: Intubation.
ANESTHESIA: Versed and fentanyl.
PROCEDURE: After the procedure was explained and consent was obtained from the patient's family, the patient was prepped for an endotracheal intubation. The patient was premedicated with Versed and fentanyl. After adequate anesthesia and analgesia was achieved, the patient's vocal cords were directly visualized with the aid of a laryngoscope using a Miller 3 blade. A size 8.5 endotracheal tube was then inserted and passed through the vocal cords atraumatically and without any difficulty. The CO₂ monitor did confirm correct placement of the tube. The cuff was then inflated and the tube secured around 22 cm at the lips.
The patient tolerated the procedure well. There were no acute complications. A chest x-ray had been ordered to confirm correct placement of the endotracheal tube.
CPT Code: ____________________