Online Radiographic Positioning Guide: Radiographic Positioning of a T-Tube Choliangiogram

T-TUBE CHOLANGIOGRAM

*Consent form needs to be signed.

SUPPLIES:
Conray - 43
50 cc syringe (several)
21GF "butterfly" needle (several)
18G 1 1/2" needle
3-way stopcock
tube clamp
60 cc catheter trip syringe

A scout film is always taken before exam. Clamp off tube prior to injection. After injection of contrast, the Radiologist will take several fluoro spots. After the Fluoroscopy is complete the Radiologist will instruct the technologist on what views need to be taken.

*Views may vary per Radiologist.

* Leave tube clamped off until the patient is ready to leaves the department.

*Radiologist will extract residual contrast before patient leaves the department.

ROUTINE FILMS: ABD, Scout, AP, RPO, LPO, 10 Minute Delay AP Film

ABDOMEN SCOUT
1. Patient supine
2. Center film to include entire Hepatic and Biliary System.
3. Central Ray: perpendicular to film.
4. 40" SID

AP AND 10 MINUTE DELAY
Patient positioned the same as scout, although a smaller size film may be utilized.

RPO AND LPO
1. Patient recumbent in RPO and LPO position.
2. Film placed to include the entire Biliary System.
3. Central Ray: perpendicular to film.
4. 40" SID