Which part of sternum is used for bone marrow aspiration?

Which part of sternum is used for bone marrow aspiration?

Aspiration at Sternum The second to third intercostal level of the sternum is palpated, and the selected sample site is marked with a pen. The area chosen should be to one side of the midline because the marrow cellularity is considered to be diminished at that location.

Why is sternal puncture important?

Sternal bone marrow aspiration is an important medical procedure for the diagnosis of hematological, oncological and infectious diseases or for medical therapy monitoring [1].

What is the position for bone marrow aspiration?

Bone marrow aspiration and trephine biopsy are usually performed on the back of the hipbone, or posterior iliac crest. An aspirate can also be obtained from the sternum (breastbone). For the sternal aspirate, the patient lies on their back, with a pillow under the shoulder to raise the chest.

What is a bone marrow aspiration procedure?

Listen to pronunciation. (bone MAYR-oh AS-pih-RAY-shun) A procedure in which a small sample of bone marrow is removed, usually from the hip bone, breastbone, or thigh bone. A small area of skin and the surface of the bone underneath are numbed with an anesthetic.

What is the most common site for bone marrow aspiration?

The back of the hip (posterior iliac crest) is used more commonly than the front. This is by far the most common site used for a bone marrow examination. A breastbone (sternum) biopsy is done only in adults and children over the age of 12, and includes only an aspiration.

What are the contraindications of bone marrow aspiration?

CONTRAINDICATIONS

• An active infection at the proposed site of aspiration, such as the posterior iliac crest, would preclude the use of the site.
• Thrombocytopenia and other coagulopathies are not contraindications for the procedure if it is executed by a skilled.
• The sternum is not recommended as a site for biopsy.(6)

When is a sternal puncture done?

Sternal puncture is still the simplest and most commonly used method for obtaining bone marrow. It is usually carried out level with the 2nd or 3rd intercostal space in midsternum.

How do you do a sternal puncture?

The sternal angle, formed by the junction of the manubrium and the body of the sternum, lies 2 cm below the sternal notch. (B) Gently mark the puncture site. (C) Inject 10 ml lidocaine, initially at the level of the skin, and then in the periosteum.

How aspiration is done?

A thin needle attached to a syringe will be inserted through the skin into the abnormal area. A vacuum inside the syringe causes body fluid or tissue to be suctioned (aspirated) into the needle and syringe. The fine needle aspiration itself is usually a short procedure (less than 10 minutes).

Is bone marrow aspiration painful?

With local anesthesia, bone marrow aspiration, in particular, can cause brief, but sharp, pain. Many people choose to also have light sedation for additional pain relief. If you’re anxious about pain, you may be given an IV medication so that you’re either completely or partially sedated during the bone marrow exam.

When is bone marrow aspiration done?

Why bone marrow aspiration is performed If preliminary blood tests show abnormal levels of white or red blood cells or platelets, your doctor may order a bone marrow aspiration. The test helps identify the particular disease, and it monitors the progression or treatment of a disease.

What are two sides for bone marrow aspiration?

Sometimes, a bilateral procedure is performed, in which bone marrow is collected from both the left and right hips. The most common collection site is the iliac crest (top ridge) of the back of the hip bone (although sometimes the front of the hip bone is sampled).