The physician will normally instruct the patient to fast from midnight before the test until after the procedure is completed.
Following mediastinoscopy, patients will be carefully monitored to watch for changes in vital signs or indications of complications of the procedure or the anesthesia.
Complications from the actual mediastinoscopy procedure are relatively rare--the overall complication rate in various studies has been 1.3-3.0%.
Several other medical conditions, such as impaired cerebral circulation, obstruction or distortion of the upper airway, or thoracic aortic aneurysm may also preclude mediastinoscopy.
A patient may have a sore throat from the endotracheal tube, temporary chest pain, and soreness or tenderness at the site of incision.
The lymph nodes in the mediastinum are likely to show if lung cancer has spread beyond the lungs.
Mediastinoscopy is usually performed in a hospital under general anesthesia.
The patient will be asked to lie down, with the neck fully extended and the head turned away from the side being massaged.
The surgeon may clear a path and feel the patient's lymph nodes first to evaluate any abnormalities within the nodes.
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An endotracheal tube is inserted first, after local anesthesia is applied to the throat. Once the patient is under general anesthesia, a small incision is made usually just below the neck or at the notch at the top of the breastbone.
what is the Icd-9-cm code for mediastinoscopy with biopsy for mass
what is the Icd-9-cm code for mediastinoscopy with biopsy for mass