We have on a number of occasions done U&E on bone marrow
aspirates where this is the only source of plasma. We use the normal
blood plasma reference ranges.
Infusion into bone marrow is not an uncommon practice in very
severely shocked children if no other method is available. It is
relatively simple and easy and anyone who has done advanced
paediatric life support should be competent. You can practice on a
chicken leg (free range) to get the feel. Even I have done it.
Mike Addison
.
Date sent: Tue, 29 Jul 2003 13:53:45 +0100
Send reply to: "Parnham Angela (RTF) NHCT"
<[log in to unmask]>
From: "Parnham Angela (RTF) NHCT"
<[log in to unmask]>
Subject: Bone marrow aspirate U&E
To: [log in to unmask]
Does anyone have information and / or experience of measuring U&E
or
FBC on bone marrow aspirate. This arose on a child with severe septic
shock where the clinicians could not get iv access. From somewhere
they had the understanding that U&E and FBC could be done on such
samples. The analyses were not performed but now we, and they,
would
like to know if this is feasible (and what would the U&E results
mean).
Many thanks
Angela Parnham
Wansbeck General Hospital
Northumbria Healthcare NHS Trust
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http://www.jiscmail.ac.uk/Dr G.Michael Addison
Royal Manchester Children's Hospital
Pendlebury
Manchester M27 4HA
United Kingdom
Tel 0161-727-2250(AM)or 0161-220-5342(PM)
FAX 0161-727-2249
Email [log in to unmask]
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