…BMI or percentile charts should be used. Waist circumference Measure the waist between the lowest rib and the iliac crest, at the end of expiration…

…not the skin. Aspiration needle (iliac crest or sternal needle with stylet) and a Jamshidi type biopsy needle. Syringes: a small 5–10 mL syringe…

…2. Identify the level. Palpate both iliac crests and draw an imaginary line between them. The line crosses the midline at approximately L4. Puncture at…

…the palm on the greater trochanter with the index finger towards the anterior superior iliac spine and the middle finger extended along the iliac crest…

…altered shear stress and intimal injury promote atherosclerosis. The principal anatomical distributions are: Abdominal aorta and iliac arteries, involved in approximately 30% of symptomatic patients…

…before puncture Pregnancy, previous extensive abdominal surgery Ultrasound guidance; choose a new site if in doubt Cellulitis over the insertion site Change the puncture site…