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Bone Marrow Aspiration At Costo-chrondral Junction. Video demonstrations will follow at end of the PowerPoint presentat

Uses For This Technique. Evaluation of lymphoproliferative or myelodysplasive disease processesPCR for infectious diseasesBone marrow examination for some protozoan disease such as Leishmania amastigotes.. Disadvantages. Patient: NoneThis technique does not substitute bone marrow biopsy (histopathology and resultant structural evaluation of the bone marrow) but may allow for a diagnosis form a cellular or infectious perspective.

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Bone Marrow Aspiration At Costo-chrondral Junction. Video demonstrations will follow at end of the PowerPoint presentat

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    1. Bone Marrow Aspiration At Costo-chrondral Junction. Video demonstrations will follow at end of the PowerPoint presentation

    2. Uses For This Technique Evaluation of lymphoproliferative or myelodysplasive disease processes PCR for infectious diseases Bone marrow examination for some protozoan disease such as Leishmania amastigotes.

    3. Disadvantages Patient: None This technique does not substitute bone marrow biopsy (histopathology and resultant structural evaluation of the bone marrow) but may allow for a diagnosis form a cellular or infectious perspective

    4. Materials 5-10 cc syringe 21-gauge needle Frosted slides Sterile surgical gloves EDTA tubes

    5. Patient Preparation Lateral recumbency with bland sedation Shave at the 10-13 intercostal space Surgical preparation

    6. Costo-chondral Junction Bone Marrow Technique Palpate the Costo-chondral Junction at the 10-13 ribs. Use the thumb and forefinger to block the target region. Insert the 21-gauge needle with attached syringe with constant and determined pressure until the needle is adequately inserted into the costo-chondral junction.

    7. Technique Continued Aspirate the marrow blood at least until the hub is filled Remove the needle with syringe Slide a small amount of aspirated bone marrow blood onto the frosted slides and utilize the smash technique

    8. Video 1: Bone Marrow Aspiration. Costo-chondral “Marchini” Technique

    9. Video 2: Bone Marrow Aspiration. Costo-chondral “Marchini” Technique

    10. Authors Raffaella Marchini DMV (Italy), Rome, Italy Eric Lindquist DMV (Italy), DABVP (Canine & Feline Practice) Fueled by SonoPath.com

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