Monitoring of patients undergoing examination of bone marrow aspiration and biopsy

Abstract

Abstract:Background: Monitoring of the patient is to improve the outcome of the bone marrow aspiration and biopsy procedure by decreasing the risk of the procedure itself Objective: 1-To monitor the heart rate , and blood pressure of the patient before ,during ,and until 6 minutes after the needle of bone marrow biopsy and aspiration has been with drawn,2- Early detection of any signs and symptoms of distress 3-to monitor the ECG abnormalities that might occur during the bone marrow aspiration and biopsyMethods: The study consisted of 33 patients referred consecutively to the Baghdad teaching hospital 7th floor ( bone marrow aspiration and biopsy clinic) Before bone marrow aspiration and biopsy , baseline 12 leads ECG ,blood pressure, and heart rate were recorded .Lead II ECG, heart rate ,blood pressure were continuously recorded during the procedure until 6 minutes after the needle had been with drawn and 12 lead ECG ,blood pressure and heart rate gain recorded at the time .Results: Heart rate , systolic, diastolic blood pressure before the procedure were significantly increase in comparison with during period of the bone marrow aspiration and biopsy and decreases in number of patients suffering from nausea, vomiting ,pallor, chest pain, dyspnea, general pain when comparing to non suffering from signs and symptomsConclusion: Electrocardiographic changes are rarely found in patients undergoing bone marrow aspiration. According to the results the investigatore recommended to preparing and training of bone marrow aspiration and biopsy clinic staff for patient care before, during and after bone marrow aspiration and biopsy