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Bone marrow aspiration

image of Bone marrow aspiration
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Abstract

Procedure for obtaining a bone marrow sample for cytology.

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Figures

Image of Figure B.28:
Figure B.28: A bone marrow aspirate can be obtained using a Klima needle.
Image of Figure B.29:
Figure B.29: The animal should be placed in sternal recumbency for obtaining bone marrow aspirates from the iliac crest.
Image of Figure B.30:
Figure B.30: The needle should be inserted into the widest and most dorsal aspect of the iliac crest. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission
Image of Figure B.31:
Figure B.31: The needle should be inserted into the greater tubercle of the proximal humerus (black X).
Image of Figure B.32:
Figure B.32: In medium to large dogs, the needle can be inserted on the craniolateral flattened aspect of the proximal humerus. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission
Image of Figure B.33:
Figure B.33: The needle should be inserted into the trochanteric fossa. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission
Image of Figure B.34:
Figure B.34: A syringe should be attached to the needle to collect the sample. The plunger is released as soon as any blood-coloured material appears in the hub.
Image of Figure B.35:
Figure B.35: A bone marrow sample should be placed at the top of the slide. Due to the near-vertical angle, any excess blood will run down to the bottom of the slide leaving the bone marrow spicules at the top.

Supplements

Procedure video: Bone marrow aspiration (1) using a needle

This video shows how to obtain cytology samples using bone marrow aspiration using a needle

Procedure video: Bone marrow aspiration (2) using a bone access system

This video shows how to obtain cytology samples using bone marrow aspiration using a bone access system. Please note that, for filming purposes, this procedure was performed on a cadaver. Appropriate aseptic techniques should be employed when performing this procedure.

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