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This document serves as a consent form for patients undergoing embolization of a liver tumor with chemotherapy, including the administration of anesthesia or sedation. It covers patient understanding
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How to fill out Consent for Embolization of Liver Tumor with Chemotherapy and Administration of Anesthesia or Sedation

01
Begin by reading the entire consent form thoroughly to understand the procedure and its implications.
02
Fill in your personal information at the designated sections, including your full name, date of birth, and medical record number.
03
Review the description of the embolization procedure, chemotherapy, and anesthesia/sedation, ensuring you understand each component.
04
Acknowledge the potential risks and benefits listed on the form by checking or signing the appropriate sections.
05
Provide information regarding any allergies, previous reactions to anesthesia, or current medications as required.
06
Sign and date the consent form to indicate your understanding and agreement to proceed with the procedure.
07
If you have questions, discuss them with your healthcare provider before finalizing your consent.

Who needs Consent for Embolization of Liver Tumor with Chemotherapy and Administration of Anesthesia or Sedation?

01
Patients diagnosed with liver tumors who are candidates for embolization treatment combined with chemotherapy.
02
Individuals requiring anesthesia or sedation during the embolization procedure.
03
Those who have been informed about the procedure's risks, benefits, and alternatives.
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People Also Ask about

CPT® Code 37243 - Vascular Embolization and Occlusion Procedures on Arteries and Veins - Codify by AAPC.
Chemoembolisation is a treatment directly into the liver. You have chemotherapy into the blood vessel that feeds the tumour. Then you have small particles injected into the blood vessel to block off the blood supply. It's also called trans arterial chemoembolisation (TACE).
CPT® Code 37243 - Vascular Embolization and Occlusion Procedures on Arteries and Veins - Codify by AAPC.
All embolization codes 37241-37244, 61624, 61624, 75894, & 75898 are assigned once per operative field.
Embolization is a therapy to treat liver tumors by blocking their blood supply. Because liver tumors thrive on highly oxygenated blood from the hepatic artery, blocking that supply may it.
Since most TACE are performed under local anesthesia or mild sedation, optimal pain management is needed [27].
For example, if a patient presents with a ruptured aneurysm and the embolization was performed to stop the bleeding, code 37244 is assigned rather than code 37242, since the procedure was initiated to treat a bleed after the aneurysm has ruptured.

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Consent for Embolization of Liver Tumor with Chemotherapy and Administration of Anesthesia or Sedation is a legal document that a patient signs to agree to undergo a medical procedure that involves obstructing the blood supply to a tumor in the liver, combined with chemotherapy treatment, and the use of anesthesia or sedation to ensure comfort during the procedure.
The patient who is going to undergo the embolization procedure is required to file the consent. Additionally, the healthcare provider administering the procedure may also need to ensure that the consent is properly documented and filed in the patient's medical records.
To fill out the consent form, the patient typically needs to provide personal information such as their name, date of birth, and medical history. They should also acknowledge that they understand the procedure, its risks and benefits, and any alternatives available. The form must be signed and dated by the patient and, if applicable, witnessed by a healthcare professional.
The purpose of the consent is to ensure that the patient is fully informed about the procedure, understands the potential risks and benefits, and voluntarily agrees to undergo the treatment. It serves to protect both the patient's rights and the healthcare provider from legal claims.
The information that must be reported includes the patient's personal details, the specific procedure being consented to, the risks and benefits involved, any alternative treatment options, and confirmation that the patient has had the opportunity to ask questions and has received satisfactory answers.
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