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Wiener Medizinische Wochenschrift

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01.12.2017 | original article

Bone marrow aspirations in oncological patients: experience from an in-house standard in paediatrics

verfasst von: Dr. Harald Sauer, Stefan Graeber, Ulla Lieser, Juergen Foell

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 3-4/2019

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Summary

Background

Nearly all paediatric patients require deep sedation when undergoing bone marrow aspiration (BMA). We analyzed the data from our protocols documented in a standardised procedure for bone marrow puncture over a period of 2 years.

Methods

Our standard included the documentation of personal data as well as vital parameters. In addition, we documented all medications administered, potential complications and required intervention measures, as necessary.

Results

A total of 107 protocols were available for the evaluation. Our standard covered the usage of midazolam and S‑ketamine and resulted in complications in just 9 patients, which could be remedied using simple measures. For both active substances, the dosage necessary to reach sufficient deep analgosedation was significantly higher for patients under 24 months of age.

Conclusions

Our standard for BMA provides a practical and feasible procedure. In addition to good examination conditions, our standard also helps ensure the safety of our patients.

Vorheriger Artikel Parenterale Ernährung bei Frühgeborenen mit einem Geburtsgewicht <1500 g: eine systematische Zentrumsanalyse und Vergleich mit publizierten Leitlinien

Nächster Artikel Nucleated red blood cells and serum lactate values on days 2 and 5 are associated with mortality and morbidity in VLBW infants

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Titel: Bone marrow aspirations in oncological patients: experience from an in-house standard in paediatrics
verfasst von: Dr. Harald Sauer
Stefan Graeber
Ulla Lieser
Juergen Foell
Publikationsdatum: 01.12.2017
Verlag: Springer Vienna
Erschienen in: Wiener Medizinische Wochenschrift / Ausgabe 3-4/2019
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI: https://doi.org/10.1007/s10354-017-0611-1

Springer Medizin Österreich

Summary

Background

Methods

Results

Conclusions

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