Download PROCEDURE: CT guided bone marrow biopsy via the right iliac crest

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Document related concepts

Medical ethics wikipedia, lookup

Patient safety wikipedia, lookup

Electronic prescribing wikipedia, lookup

Transcript
PGMARROW
PROCEDURE: CT guided bone marrow biopsy via the right iliac crest.
CLINICAL INDICATION:
PHYSICIAN: Dr. Paul Gryzenia.
MEDICATIONS: Subcutaneous 2% lidocaine, 0.25 mg Versed, 25 mcg fentanyl.
COMPLICATIONS: None immediate.
RADIOLOGIST INTRASERVICE TIME/CONSCIOUS SEDATION TIME: _ minutes. The patient
was monitored throughout the procedure by the IR nurse. I was personally present in the above
mentioned conscious sedation time.
PROCEDURE/FINDINGS: The risks and benefits of the procedure were explained to the patient
and consent was obtained.
The patient was then placed in a prone position. A grid was placed over the right iliac crest and a
CT scan was performed to localize an adequate site for biopsy. The skin was marked with a
magic marker and prepped utilizing maximum sterile barrier technique. The subcutaneous skin
was anesthetized with 2% lidocaine, and an 11 gauge Jamshidi needle was placed into the right
posterior iliac crest. A bone marrow specimen was aspirated and smear slides were made. A
core specimen was also obtained and samples were submitted for chromosomal analysis and
flow cytometry.
The patient tolerated the procedure well without immediate complication.
IMPRESSION:
 Technically successful CT guided bone marrow biopsy via the right iliac crest as
described above. Samples sent to pathology for analysis.