T14-1B OPERATIVE REPORT, ANESTHESIA

Essay

T14-1B OPERATIVE REPORT, ANESTHESIA
This patient has diabetes mellitus that is well controlled with oral insulin. Do not assign diagnosis codes. Anesthesia by: MDA and CRNA. Anesthesiologist was medically directing 4 concurrent cases.
This case was monitored with EEG (electroencephalogram). There were some depressions when we clamped, but these returned to normal after reestablishing circulation.
ANESTHESIA: General
DESCRIPTION OF PROCEDURE: Under general anesthesia, this 82-year-old patient's right side of neck was prepped and draped in the usual manner. An incision was made across the medial border of the sternocleidomastoid. The platysma was divided. The common carotid artery was localized. We put a LigaLoop around it, and then we isolated the external and internal carotid arteries and put LigaLoops around them. We saw the hypoglossal nerve. We put the retractors in and retracted on the upper end of the wound, and then we gave the patient heparin and proceeded with the arteriotomy.
After placing clamps on the internal, common, and external carotid arteries, the arteriotomy was done. There was a severe stenosing atherosclerotic plaque. This was removed. We then sutured the artery up with a 5-0 Prolene at the distal and then at the proximal and meeting in the middle, producing back bleeding and then closing the artery. The wound was then closed in layers after placing a Hemovac in the wound. The wound was approximated with 2-0 chromic, 2-0 plain, and surgical staples on the skin. A dressing was applied. The patient was discharged to recovery.
T14-1B:
PHYSICIAN CODE: ___________________
CRNA CODE: ___________________
QUALIFYING CIRCUMSTANCES CODE: ___________________