Liver Biopsy is the diagnostic invasive procedures done in a minor operating room set up in the correct positioning of the patient. Removal of a small amount of liver tissue biopsy needle for the examination of liver cells.
Indication
Malignancy of liver
Increased Bilirubin level
Liver-Related Problems
Before the procedures, get signed informed consent from the patient/caretaker of the patient
Check with the following investigation
Prothrombin time
Platelets counts
Hemoglobin level
other hemodynamic Level
Check all the VItal parameters at the normal level, if any variation in level inform prior to the procedure for clarification from Physician
Liver Biopsy Procedure
Attach the vital parameter for monitoring the patients during procedures.
Continuous monitoring of patients pulse, respiratory rate, blood pressure at 10 to 20 minutes. connect and supply oxygen for patients if needed
Clean the Right upper abdomen (Right hypochondrium region) using the skin preparation antiseptic solution.
The Tray contains
Bowl with gauzes pieces
Bowl with saline water
sponge holder
Biopsy needle
Drape for draping
Get ready with the local anesthesia, emergency medication, and premedication drugs ready.
Premedication was given prior to the procedure
Draping did use of sterile drape on the needle insertion site. The check with the biopsy needle working or not before introducing. The Physician promptly introduces the biopsy needle into the transthoracic or transabdominal route, penetrates slowly and puncture the liver aspirate and withdraw slowly.
After the procedures close the puncture site with Sterile gauze pieces and clean the area.
After few minutes closed puncture site with Gauze with Micropore plaster to avoid discharge of Fluids or bleed.
Liver Biopsy Position
Place a wedge or pillow under costal margin, the position remains for some time until procedure over Recumbent position. Do change position and immobile for sometimes. liver biopsy position same as lateral position
Operating mobile light, Mayo’s trolley containing clean sterile sheet.
Care of specimen
Specimen collected by the Circulating Nurse in the specimen container and Labelled with
Patients Name
Hospital patient IP number
Date and time collected
Physician Name( collected by)
Fill the hospital Biopsy form with the required data
Sent to the Pathology for the examination.
Confirm the date of Result available to patient and attender after the procedure over.