Observation and Assistance in Bone Marrow Aspiration and Biopsy

Introduction

Bone marrow aspiration and biopsy are essential procedures for diagnosing hematological conditions. This guide provides step-by-step procedural insights in a simulated setting.

Importance of Bone Marrow Biopsy

Bone marrow biopsy helps in diagnosing conditions like leukemia, lymphoma, multiple myeloma, and anemia.

Preparation for the Procedure

• Patient positioning: Typically lateral decubitus for posterior iliac crest access.
• Sterile environment: Ensuring aseptic technique to prevent infections.
• Local anesthesia administration: Minimizes discomfort during the procedure.

Step-by-Step Procedural Guidance

Bone Marrow Aspiration

1. Insert a trocar needle into the iliac crest or sternum.
2. Aspirate marrow using a syringe.
3. Transfer sample for microscopic examination.

Bone Marrow Biopsy

1. Use a Jamshidi needle for deeper extraction.
2. Apply twisting motion to extract a core sample.
3. Store sample in formalin for histopathological analysis.

Post-Procedural Care

Monitor for complications such as bleeding or infection. Provide proper patient education on wound care.

Conclusion

Bone marrow biopsy is a crucial diagnostic tool in hematology. Proper technique and post-procedural care ensure reliable results and patient safety.