general anesthesia for lumbar puncture and bone marrow aspiration /biopsy in children

Authors

ali ghasemi assistant professor of pediatric hematology and oncology, faculty of medicine, mashhad university of medical sciences, mashhad, iran.

abstract

background  multiple procedures (lumbar puncture and bone marrow aspiration /biopsy) cause pain, stress, depression and etc for the patients and their families. various methods have been recommended for pain reduction during invasive procedures. the aim of this study is to report the complications following general anesthesia. methods in this prospective observational study, two hundred and two children with cancer were enrolled. all patients received propofol 2.5 mg /kg and fentanyl 1 µg/kg. after adequate anesthesia, procedures were performed by a pediatric oncologist. all anesthesia complications were classified into two groups: intraoperative and postoperative complications. complications which were recorded include: abnormal age-specific bradycardia (≤20 × baseline), decrease in arterial oxygen saturation (≤90%), laryngospasm, vomiting, agitation, headache, hypothermia (<35 c°), hyperthermia (>37/8 c°), signs of allergy, traumatic lp (bloody), and unusual local bleeding. results in this study, 118 males and 84 females underwent 623 general anesthetic procedures with a median of 3 procedures per patient. intraoperative period complications occurred in 48 of total 623 procedures (7.7 %). the most common complications were traumatic lp, bradycardia and decrease in arterial oxygen saturation which occurred in 25, 6 and 6 cases, respectively. postoperative period complications occurred in 74 (11.9%) cases. the most common complications were vomiting, agitation and headache, decrease o2 saturation and bradycardia. conclusion general anesthesia by propofol and fentanyl may be a good choice for short-term painful procedures in children undergoing treatment for bone marrow aspiration/biopsy and intratechal injection. key words: embryonic stem cells; bone marrow, biopsy.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

General Anesthesia for Lumbar Puncture and Bone Marrow Aspiration /Biopsy in Children

Background  Multiple procedures (Lumbar puncture and bone marrow aspiration /biopsy) cause pain, stress, depression and etc for the patients and their families. Various methods have been recommended for pain reduction during invasive procedures. The aim of this study is to report the complications following general anesthesia. Methods In this prospective observational study, two hundred and ...

full text

General Anesthesia for Lumbar Puncture and Bone Marrow Aspiration /Biopsy in Children with Cancer

Abstract Background Multiple procedures (Lumbar puncture and bone marrow aspiration /biopsy) cause pain, stress, depression and etc for the patients and their families. Various methods have been recommended for pain reduction during invasive procedures. The aim of this study is to report the complications following general anesthesia. Materials and Methods In this prospective observational ...

full text

General Anesthesia for Lumbar Puncture and Bone Marrow Aspiration /Biopsy in Children with Cancer

BACKGROUND Multiple procedures (Lumbar puncture and bone marrow aspiration /biopsy) cause pain, stress, depression and etc for the patients and their families. Various methods have been recommended for pain reduction during invasive procedures. The aim of this study is to report the complications following general anesthesia. MATERIALS AND METHODS In this prospective observational study, two ...

full text

Ketofol for bone marrow aspiration and lumbar puncture in Children with ALL

Abstract Background Ketofol is usually using as a sedative drug during painful procedures now. That Provides sedation, analgesia and rapid recovery. The aim of this study was to compare the efficacy, respiratory and hemodynamic profiles, and side effects of two various combination of ketamine and propofol in patients undergoing bone marrow aspiration (BMA) and lumbar puncture (LP). Materials...

full text

The Role of Bone Marrow Aspiration and Bone Marrow Biopsy in Diagnosis of Bone Marrow Metastases

Background: Bone marrow is the site of many malignant disorders and it is one of the common places for solid tumors to metastasize. Examination of the bone marrow aspirate and biopsy is a routine procedure performed for assessment of various conditions such as cytopenias, hematologic neoplasms, nonmalignant disorders and metastatic neoplasms. Methods: The patients were referred to the Hema...

full text

ketofol for bone marrow aspiration and lumbar puncture in children with all

abstract background ketofol is usually using as a sedative drug during painful procedures now. that provides sedation, analgesia and rapid recovery. the aim of this study was to compare the efficacy, respiratory and hemodynamic profiles, and side effects of two various combination of ketamine and propofol in patients undergoing bone marrow aspiration (bma) and lumbar puncture (lp). materials an...

full text

My Resources

Save resource for easier access later


Journal title:
international journal of pediatrics

جلد ۲، شماره ۲.۳، صفحات ۶۱-۶۱

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023