Does any PCCM/CCM docs here ever just do a perc cholestostomy tube yourself?

Those who regularly do chest tubes, thora’s, paras, central/a-lines, LP’s; the perc cholestostomy tube insertion procedure seems incredibly easy and doable. Especially if you’re familiar with the different tube types.

Coming from an institution where IR will always delay treatment on the septic patient going from 2nd to 3rd pressor, when is the line to just pop one in yourself? What is the liability if you’re doing it as a life-saving measure to prevent deterioration?

Posted Jun 30, 2025, 3:02 AM UTC

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