A clinician (Dr. Joshua John-Ram Schacter) narrates a bone-aspiration procedure using a Jamshidi instrument. The speaker explains the Jamshidi is a hollow needle/trocar tapped into the bone, verifies placement with suction, and then aspirates bone marrow. They contrast pacing when the patient is awake (slower, to minimize discomfort) versus asleep (faster, no perceived pain).
So it's a hollow nail that basically goes down to the bone. Now, I'm using an instrument. The entire instrument is called a jamshidi. So it's a hollow nail that basically goes down to the bone, and I tap it. And when patients are awake, I do this so that they can tell it's not going to hurt, that the bone is numb. Couple of taps.
And I can verify that I'm in the bone. Little bit of suction there confirms that I am right in the middle of the bone. And now I start to aspirate. And again, this is a difference. When the patients are awake, this is much slower to minimize discomfort. But when the patient is sleeping, he does not feel any pain. So we can do this a little faster pace.
She Traveled from Colorado for a Different Approach to Knee Pain | Lois’ Story
