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Place the patient in either Prone or Decubitus position. Posterior iliac crest is the most common side to obtain bone marrow. Clean the skin with an antiseptic solution Inject the marked area with local anesthetic to the periosteum. Make a skin incision with a scalpel blade over the marked area. Insert the needle (combining Cannula with Sharp stylet) through the incision. By rotating the needle, put the needle gently through the periosteum into the cortex. Remove Sharp stylet by rotating upper section of handle and pulling straight out. By rotating the Cannula needle, continue putting the Cannula needle forward into the bone marrow cavity. The marrow cavity is generally detected by decreased resistance. Connect the syringe to Cannula hub. Apply suction by withdrawing syringe plunger. Remove the syringe collecting the aspirated specimen. Remove the Cannula from body slowly. BONE MARROW Take the biopsy after the aspiration using the same skin incision, but choosing a different location to obtain the biopsy sample. Repeat Steps A through I of the procedure and continue as follows: J By rotating the Cannula needle (for better cutting), slowly and gently putting the needle until adequate marrow is obtained. Step-A K Insert the Blunt stylet into the Cannula to check the sample length in the Cannula. L Remove the Blunt stylet. M Remove the Cannula from body slowly, and push the specimen out with the Blunt stylet. Step-K COLEX COLEX Bone Marrow Biopsy Needle

COLEX COLEX What is bone marrow? Aspiration Hole Bone marrow produces red blood cells, white blood cells, and platelets. Bone marrow is the soft tissue that is inside most large bones. Bone marrow makes a lot of the body's blood cells, including red blood cells, white blood cells, and platelets. Why do a bone marrow biopsy? Sharp Stylet Blunt Stylet Health providers order bone marrow biopsies when there are signs or symptoms that something is wrong with blood cell production. Bone marrow biopsies are also used for patients with blood-related cancers to see how 1 Cannula: It drills holes...