含羞草影院

Before the procedure

You might be asked to stop taking blood-thinning medicines, including aspirin, for several days before the test to reduce the risk of bleeding.

You might be able to eat and drink like normal. Your doctor or nurse will give you specific instructions. Be sure to follow them and to ask questions if there’s anything you don’t understand.

Making a transportation plan

Depending on whether you are receiving sedation or anesthesia, you may need to arrange for a ride home after the test. If you are sleepy or dizzy, you might need someone to help you get safely into your home, so a cab or rideshare service might not be a good option. Some clinics will not allow you to use a cab or rideshare after this procedure.

If transportation or help getting home might be a problem, talk with your health care provider. There might be other resources available, depending on the situation.

At the clinic

The bone marrow biopsy and aspiration procedures are most often done in the doctor’s office or clinic, sometimes in special areas for procedures.

Be sure your health care provider knows about any medicines you are taking, including vitamins, herbs, and supplements, as well as if you have allergies to any medicines.

Once you are in the room where the procedure will be done:

• Your vital signs (temperature, blood pressure, heart rate) will be checked.
• If needed, medicines may be given to help you relax or not feel pain.
• You will be positioned on your stomach, back, or side, depending on the biopsy and aspiration site.

During the procedure

The bone marrow biopsy and aspiration procedures take about 10 to 30 minutes, depending on the type of anesthesia used. If you are getting IV sedation, extra time will be needed.

Most often, bone marrow biopsy and aspiration are done as an outpatient procedure, where you don’t need to stay overnight in a hospital. Your provider will review the procedure with you and ask you to sign a consent form.

Bone marrow aspiration

The skin over the hip area is cleaned with an antiseptic, and the area and the surface of the bone are numbed with a local anesthetic. This can cause a brief stinging or burning feeling.

Your health care provider will make a small cut in the skin and insert a thin, hollow needle through it into the bone. A syringe attached to the needle is used to suck out a small amount of liquid bone marrow. This may cause a brief, shooting pain at the area and leg, even with anesthetic. Multiple collections may be needed based on the testing to be done. Once the sample is collected, the needle is removed.

If a biopsy is not to be performed, pressure will be put on the site over the area to help stop bleeding.The samples will be sent to the laboratory for testing.

Bone marrow biopsy

Following bone marrow aspiration (if performed), a slightly larger, hollow needle is inserted through the skin into the bone. This can cause feelings of pressure as the needle is put into the proper location.

A small piece of bone and spongy marrow is removed. This can cause brief pain at the area. Once the sample is collected, the needle is removed. Pressure will be put on the site over the area to help stop bleeding.

The samples will be sent to the laboratory for testing.

After the procedure

A dressing will be placed over the biopsy area to hold pressure. You will need to stay lying down for at least 10 to 15 minutes. The dressing will need to be kept dry and in place for 24 hours.

If local anesthesia was given, usual daily activities can be restarted. If IV sedation is given, more time is needed to recover from feeling drowsy.

The biopsy area might be sore for about a week, and there might be a bruise.

Possible risks of bone marrow biopsy and aspiration

Bone marrow biopsy and aspiration are usually safe, but there is a small risk of certain complications.

Bleeding: A small amount of bleeding could happen where the provider removed the bone marrow samples. This is more likely if your platelet counts are low.

Infection: In rare cases, the cuts can get infected.

Needle breakage: Rarely, one of the needles used for bone marrow biopsy and aspiration could break during the procedure. If this happens, steps will be taken to remove it.

Drug reactions: Sometimes the sedation or anesthesia can cause changes in blood pressure, confusion, dizziness, or even an allergic reaction. You will be watched closely for any side effects, and they will be treated if needed.

Before you go home, your doctor or nurse should give you specific instructions on when you might need to call the doctor’s office for problems. In general, these include:

• Bleeding or oozing from the site that won’t stop
• Severe pain at the site
• Fever
• Redness or swelling at the site

Be sure you understand what you should watch out for, the possible timing of when problems might occur, and when you should call for problems.