Management of Pain and Anxiety during Bone Marrow Aspiration : An Italian National Survey
Copyright © 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved..
BACKGROUND: Bone marrow aspiration (BMA) or biopsy is a necessary and frequent procedure for diagnosis and monitoring of hematological diseases. Pharmacological pain management approaches exist; however, previous experience and psychological preparation for BMA may impact pain perception.
AIMS: This study aimed to explore current practices in procedural pain management for BMA or biopsy.
DESIGN/SETTING/PARTICIPANTS: A cross-sectional internet-based survey was performed by the Nurses Group of the Italian Transplant Group (GITMO). Participants were nurses working in bone marrow transplant centers regularly performing BMA/biopsies.
RESULTS: Sixty out of 94 centers receiving the survey responded (63.8%), 47 adult and 13 pediatric centers. The majority of them (75%) provided only verbal information for patient preparation before BMA. . Injected local anesthetics were used in 55.4% of centers, and combined with topical anesthetics in 33.9% of centers. Use of oral anesthetics was rare; however, anxiolytics and benzodiazepines were occasionally used (18.3%, 18.3% respectively). All pediatric centers used deep sedation for the procedure (p < .001), but drug choice depended on anesthetist preference. Ice packs (35.0%) and oral analgesia as required (40.0%) were used for postprocedural pain. Nurses perceived their patients' pain scores as relatively low (3.5 on scale 0-10), but recognized that it was a painful procedure provoking anxiety, and that pain management could be improved.
CONCLUSIONS: Results revealed the lack of a standardized approach to procedural pain management for BMA in this study sample. Assessing a patient's pain experience is a key component to identifying effective pain management for BMA.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:22 |
|---|---|
| Enthalten in: |
Pain management nursing : official journal of the American Society of Pain Management Nurses - 22(2021), 3 vom: 01. Juni, Seite 349-355 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Liptrott, Sarah J [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Completed 25.11.2021 Date Revised 25.11.2021 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.pmn.2020.09.005 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM316781185 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM316781185 | ||
| 003 | DE-627 | ||
| 005 | 20231225161824.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.pmn.2020.09.005 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1055.xml |
| 035 | |a (DE-627)NLM316781185 | ||
| 035 | |a (NLM)33109451 | ||
| 035 | |a (PII)S1524-9042(20)30194-6 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Liptrott, Sarah J |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Management of Pain and Anxiety during Bone Marrow Aspiration |b An Italian National Survey |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 25.11.2021 | ||
| 500 | |a Date Revised 25.11.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Bone marrow aspiration (BMA) or biopsy is a necessary and frequent procedure for diagnosis and monitoring of hematological diseases. Pharmacological pain management approaches exist; however, previous experience and psychological preparation for BMA may impact pain perception | ||
| 520 | |a AIMS: This study aimed to explore current practices in procedural pain management for BMA or biopsy | ||
| 520 | |a DESIGN/SETTING/PARTICIPANTS: A cross-sectional internet-based survey was performed by the Nurses Group of the Italian Transplant Group (GITMO). Participants were nurses working in bone marrow transplant centers regularly performing BMA/biopsies | ||
| 520 | |a RESULTS: Sixty out of 94 centers receiving the survey responded (63.8%), 47 adult and 13 pediatric centers. The majority of them (75%) provided only verbal information for patient preparation before BMA. . Injected local anesthetics were used in 55.4% of centers, and combined with topical anesthetics in 33.9% of centers. Use of oral anesthetics was rare; however, anxiolytics and benzodiazepines were occasionally used (18.3%, 18.3% respectively). All pediatric centers used deep sedation for the procedure (p < .001), but drug choice depended on anesthetist preference. Ice packs (35.0%) and oral analgesia as required (40.0%) were used for postprocedural pain. Nurses perceived their patients' pain scores as relatively low (3.5 on scale 0-10), but recognized that it was a painful procedure provoking anxiety, and that pain management could be improved | ||
| 520 | |a CONCLUSIONS: Results revealed the lack of a standardized approach to procedural pain management for BMA in this study sample. Assessing a patient's pain experience is a key component to identifying effective pain management for BMA | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Botti, Stefano |e verfasserin |4 aut | |
| 700 | 1 | |a Bonifazi, Francesca |e verfasserin |4 aut | |
| 700 | 1 | |a Cioce, Marco |e verfasserin |4 aut | |
| 700 | 1 | |a De Cecco, Valentina |e verfasserin |4 aut | |
| 700 | 1 | |a Pesce, Anna Rita |e verfasserin |4 aut | |
| 700 | 1 | |a Caime, Alessandro |e verfasserin |4 aut | |
| 700 | 1 | |a Rostagno, Elena |e verfasserin |4 aut | |
| 700 | 1 | |a Samarani, Emanuela |e verfasserin |4 aut | |
| 700 | 1 | |a Galgano, Letizia |e verfasserin |4 aut | |
| 700 | 1 | |a Ciceri, Fabio |e verfasserin |4 aut | |
| 700 | 1 | |a Orlando, Laura |e verfasserin |4 aut | |
| 700 | 1 | |a Gargiulo, Gianpaolo |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Pain management nursing : official journal of the American Society of Pain Management Nurses |d 2000 |g 22(2021), 3 vom: 01. Juni, Seite 349-355 |w (DE-627)NLM115976434 |x 1532-8635 |7 nnns |
| 773 | 1 | 8 | |g volume:22 |g year:2021 |g number:3 |g day:01 |g month:06 |g pages:349-355 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.pmn.2020.09.005 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 22 |j 2021 |e 3 |b 01 |c 06 |h 349-355 | ||