Periprocedural Care
Equipment
Equipment used in aspirating the olecranon bursa includes the following:
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Antiseptic solution
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Gauze pack, 4 × 4 in. (10 × 10 cm)
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Sterile drapes
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Sterile gloves
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Lidocaine 1%
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Syringes, 10 mL (2)
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Needles, 18 gauge (2)
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Needle, 25 gauge
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Adhesive bandage
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Patient Preparation
Anesthesia
Anesthesia is achieved with inject of a local anesthetic (see Technique). For more information, see Local Anesthetic Agents, Infiltrative Administration.
Positioning
Position the patient sitting upright on a stretcher. Rest the affected arm on a side table with the elbow flexed 90º (see the image below).
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Media Gallery
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Olecranon bursitis.
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Inflamed olecranon bursa (arrow) and an acceptable needle insertion site (dot).
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Skin preparation and sterile draping.
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Raising a skin wheal over the selected needle insertion site using a local anesthetic agent.
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Aspiration of an inflamed bursa while milking its content with the other hand.
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Withdrawal of the needle.
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