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A flexible tube called a Peripherally Inserted Central Catheter (PICC) is put into a peripheral vein and extends to a central vein close to the heart. It makes drawing blood for lab testing and administering IV medications easier. Compared to conventional central venous catheters, PICCs provide greater adaptability and a lower risk of complications. They can minimise the need for needle sticks and facilitate long-term therapy for weeks or months at a time.
The process of taking a tiny sample of bone marrow fluids with a needle is known as "Bone Marrow Aspiration." It helps in evaluating the synthesis of red blood cells, white blood cells, and platelets. Bone Marrow Aspiration test offers a thorough assessment of bone marrow function and is frequently carried out in conjunction with a Bone Marrow Biopsy. The process is required for tracking the outcomes of treatment, as well as identifying different blood diseases.
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A doctor or nurse will first administer the numbing injection to your arm, where the PICC will be placed. Once the area is numbed, a doctor or nurse will put a PICC into the vein with the help of an ultrasound to check if the PICC is in place. Once the PICC is in place, a tape will be placed over the part outside the body to keep it from moving. Once in place, a dressing will be placed over the exit site of the catheter.
By eliminating the need for repeated needle sticks and protecting veins from irritation from IV drugs, a PICC lessens discomfort. It is adaptable and can be used for weeks or months at home, in nursing homes, or in hospitals. PICCs ease patient care by enabling most blood tests to be performed directly through the catheter and facilitating a variety of IV therapies. All things considered, they provide a practical and efficient way to administer IV therapy while putting the comfort and vascular health of the patient first.
A PICC line is an ideal option for the following individuals:
Those with small veins
Individuals have a fear of needles
Those who cannot lie flat
Individuals who cannot have a different type of line as they take blood-thinning medications
PICC insertion may need to be done more than once, result in mild discomfort, or cause bleeding. Infections, thrombosis, phlebitis, and unintentional puncture of adjacent structures are uncommon side effects. PICCs that are not securely fastened may come loose, whole or partially. Catheters may need to be repositioned if they shift, and blockages may arise and need to be cleared with medicine. The dangers associated with PICC use are reduced by attentive monitoring and timely action, guaranteeing the safe and efficient delivery of medicine.
You can call your healthcare provider if you notice any of the following symptoms:
If the PICC is displaced or pulled out
If you develop shortness of breath, feel lightheaded, or are dizzy
Should you experience a temperature exceeding 100 degrees Fahrenheit
If you develop swelling in the fingers, hands, upper arm, or neck
If you have bleeding at the PICC line site
If you develop redness or warmth at the PICC line site
When blood tests reveal abnormal blood cell counts, Bone Marrow Aspiration is essential for diagnosing bone marrow-related disorders. Aspiration can reveal the presence of several conditions, such as lymphoma, leukaemia, anaemia, and myelodysplastic syndrome. It also helps in the diagnosis of TB, leukopenia, myelofibrosis, hemochromatosis, and aplastic anaemia. Through the analysis of bone marrow samples, medical professionals can properly monitor the evolution of diseases and customise treatment plans.
Bone Marrow Aspirations and Biopsies are diagnostic techniques used to evaluate the function of the bone marrow. While biopsy gathers the solid, spongy tissue, aspiration samples the liquid component. Aspiration removes fluid for examination to assess blood cell production. A biopsy offers a more thorough investigation by examining the bone marrow's cellular makeup and structure. When combined, they provide a thorough understanding of bone marrow health and facilitate the diagnosis of cancer and other blood problems.
The posterior superior iliac crest is the preferred site for Bone Marrow Aspiration as it is not weight-bearing and has an abundance of cellular marrow. On the other hand, due to its accessibility and ease of use, the anterior iliac crest may be chosen in extremely obese patients. These factors guarantee the best possible sample collection while reducing patient discomfort and risk.
You must contact your healthcare provider immediately if you experience any of the following symptoms:
Redness at the site where the bone marrow sample was taken
Bleeding at the site of the biopsy that does not stop after applying pressure for several minutes
Pain on the side where the procedure was done
A fever of 100 degrees Fahrenheit or higher
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