96523 Irrigation of implanted venous access device for drug delivery systems

Name of the Procedure:

Irrigation of Implanted Venous Access Device for Drug Delivery Systems

• (Commonly known as flushing a port, port irrigation)

Summary

This procedure involves cleaning an implanted venous access device (like a port or central line) to ensure it remains open and functional. The device is used to deliver medications directly into the bloodstream.

Purpose

Irrigation of the device prevents blockage, keeps the line functional, and reduces the risk of infection.

Indications

• Regular maintenance of central venous access devices
• Patients receiving long-term intravenous drug therapy
• Conditions requiring frequent blood draws or medication administration

Preparation

• Patients generally do not need to fast.
• Inform the healthcare provider about any medications or allergies.
• Local diagnostic tests may include blood work to check for infection.

Procedure Description

1. Setup: Clean the area around the implanted device with antiseptic solution.
2. Access: Attach a sterile syringe filled with saline or heparin to the access port.
3. Flushing: Slowly inject the solution to flush the tubing.
4. Final Steps: Monitor for any resistance and ensure the line is clear. Detach the syringe and cover the port with a sterile dressing.

Tools and Equipment:

• Sterile syringes
• Saline or heparin solution
• Antiseptic wipes

Anesthesia: Usually not required; local anesthetic may be used in some cases.

Duration

Typically 10-15 minutes.

Setting

Performed in an outpatient clinic, hospital, or sometimes at the patient's home by a healthcare provider.

Personnel

• Nurses
• Certified medical technicians
• Occasionally, a physician

Risks and Complications

Common:

• Minor bleeding at the access site

Rare:

• Infection
• Thrombosis of the device
• Allergic reaction to flushing solution

Benefits

• Prolongs the usability of the device
• Reduces risk of infection
• Ensures efficient drug delivery

Recovery

• No significant recovery period required.
• Immediate post-procedure care involves monitoring the access site for any adverse reactions.
• Regular follow-up appointments to ensure device functionality.

Alternatives

• Alternative venous access devices (e.g., peripheral IV lines)
• Oral medications, if applicable

Pros and Cons:

• Pros: Less invasive than replacing the device or using multiple peripheral lines.
• Cons: Requires regular maintenance.

Patient Experience

During the procedure, the patient might feel slight discomfort at the access site. Post-procedure, they typically experience no significant pain. Comfort measures include ensuring a relaxed, aseptic environment and offering reassurance throughout the process.