Pleasant Chapel Hill Road, Mt. Pleasant, Texas and offers a Phlebotomy Program.
Aetna considers therapeutic phlebotomy medically necessary for any of the following indications: Aetna considers therapeutic phlebotomy experimental and investigational for the following indications because its effectiveness for these indications has not been established not an all-inclusive list.
For use as adjunctive therapy with interferon for treatment of chronic hepatitis C For the treatment of the common cold For the treatment of hemoglobin SC disease For the treatment of migraines For the treatment of myeloproliferative disorders without polycythemia vera For the treatment of progressive multiple sclerosis Background Phlebotomy therapeutic bleeding is a controlled removal of a large volume usually a pint or more of blood.
It is used mainly to reduce blood volume, red cell mass and iron stores. Therapeutic phlebotomy is used to remove excess iron and maintain low normal body iron stores in patients with hemochromatosis. Hyperferritinemia attributable to iron overload is resolved by therapeutic phlebotomy.
When applied before iron overload becomes severe, this treatment also prevents complications of iron overload, including hepatic cirrhosis, primary liver cancer, diabetes mellitus, hypogonadotrophic hypogonadism, joint disease, and cardiomyopathy.
In patients with established iron overload disease, weakness, fatigue, increased hepatic enzyme concentrations, right upper quadrant pain, and hyperpigmentation are often substantially alleviated by therapeutic phlebotomy.
Serum iron and ferritin concentrations are frequently elevated in patients with chronic viral hepatitis. Pilot studies suggested that HCV-infected patients with elevated concentrations of iron in the blood and liver are less likely to respond to interferon, and that the response could be enhanced with iron reduction.
However, randomized controlled clinical trials of therapeutic phlebotomy for HCV treatment have not found significant improvements in sustained virologic response with phlebotomy plus interferon IFN compared to IFN alone Fonatana et al, ; Di Bisceglie et al, The Medline database and Cochrane registry of controlled trials were searched using the key words "phlebotomy" and "treatment of hepatitis C.
Statistical analysis was performed using Comprehensive Meta-Analysis version 2. The 3 largest RCTs excluded patients with cirrhosis. Two RCTs specifically included only patients with either high ferritin or high hepatic iron content. Interferon treatment regimes varied.
Length of treatment varied between 6 and 12 months. The phlebotomy plus IFN group and the IFN group did not differ with respect to the percentage of patients with cirrhosis or genotype 1.
The authors stated that phlebotomy appeared to enhance the efficacy of non-pegylated IFN monotherapy for CHC, but more research was required to confirm this.
Problems associated with the limited volume of data and clinical and methodological heterogeneity between the studies were acknowledged and addressed by the investigators in the discussion section of the review.
Moreover, the authors stated that confirmation of this will require RCT with detailed pre-treatment iron studies and appropriately powered to demonstrate a statistically significant benefit. The authors stated that adequately powered RCTs with detailed pre-treatment iron studies should be considered to evaluate phlebotomy as an adjunct to pegylated IFN, with or without ribavirin.
As a priority, they recommended research among selected genotype one patients unable to tolerate ribavirin. In a review on evidence-based approach for the treatment of adults with sickle cell disease, Lottenberg and Hassell noted that reports and case series indicated that repeated phlebotomy to lower the hemoglobin Hb level and induce iron deficiency can reduce the frequency of painful episodes in selected patients with high steady state Hb levels.
Bouchair et al reported the findings of sickle cell disease patients who suffered from frequent painful crises and were submitted to phlebotomies in order to reduce hospitalization days due to pain. The number of hospitalization days for crises was considered.
The volumes and frequencies of phlebotomies were adjusted according to the patients ages, the Hb concentrations and the serum ferritin levels.
Mean Hb concentration was Mean corpuscular volume, mean corpuscular Hb concentration and serum ferritin were also reduced.
The striking decrease of the number of hospitalization days for all the patients suggests a closed relationship between therapy and clinical improvement.Venipuncture is the process of obtaining blood samples from veins for the purpose of laboratory testing.
The procedure is performed by phlebotomists, paramedics and medical laboratory scientists, to name a . Phlebotomy is used in the diagnosis and treatment of disease and as a therapeutic procedure List and explain at least four steps and responsibilities in the phlebotomists job-related duties 1.
Welcome to Kennebec Valley Community College. Community College Bond Question #5 Passes Thanks to the voters of Maine, a bond for a $15 million investment in the Maine Community College System has been approved.
A body of Medical Laboratory Technologists came in to existence in the state of West Bengal in the year and developed to National Body as All India Medical Laboratory Technologists Association (AIMLTA) and registered under Societies Regitration Act XXI of New Delhi in the year , bearing the Registration No S/ You cannot view this unit as you're not logged in yet.
The BPCC Phlebotomy Program trains individuals to perform accurately and competently skin punctures and venipunctures, collect other specimens or cultures, and transport specimens for laboratory testing.