Info

🌱 來自: Procedure of hematology

Bone marrow aspiration and biopsy

surface anatomy of Bone marrow aspiration and biopsy

Dry tap on bone marrow aspiration: a red flag

site: Posterior iliac crest

Prepare

• 20 cc x 2

Bone marrow aspiration

• 先抽1ml → particle?
• 慢抽血

Bone marrow biopsy

T-Lok Bone Marrow Biopsy System Procedure Video - YouTube

• firm and gentle 鑽
• 當咬進骨頭(cortex)裡時，把stylette轉90度然後拔出來
• 再進2-3cm，用探針看一下，一公分以上
• 送夾子 T-lok(黃)， ✖ 不要轉！要按一下，卡住
• 整枝轉10圈 (綠) 後、拔！

Procedure Note

Bone marrow aspiration and biopsy procedure
Date/ Time:  xxxx xx:xx
Indication: xxxx
Referred by: xxxx, M.D.
- Time-out was called to confirm: patient’s name and date of birth, procedure, side and site of biopsy, safety procedures followed.
- Other physicians present: xxxx, xxxx (Pathology resident)
- Informed consent: signed by patient.
- Aspiration and biopsy site: [left][right] superior posterior iliac crest.
- Patient position: [prone] [right lateral decubitus] [left lateral decubitus]
- Preparation and technique: sterile preparation of site with Betadyne, Chloraprep, draped to expose aspirate/biopsy area, local anesthesia with 1% lidocaine (approximately 10ml), frequent pressure application on incision to maintain hemostasis.
- Tissue obtained: bone marrow aspirate and biopsy were successfully obtained in sterile manner.
- Toleration of procedure and any complications: slight localized bleeding (<1ml). Patient tolerated procedure well with minimal pain.