Abstract
Original language | English |
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Pages (from-to) | 349-355 |
Number of pages | 7 |
Journal | Pain Manage. Nurs. |
Volume | 22 |
Issue number | 3 |
DOIs | |
Publication status | Published - 2021 |
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Management of Pain and Anxiety during Bone Marrow Aspiration: An Italian National Survey : Pain Management Nursing. / Liptrott, S.J.; Botti, S.; Bonifazi, F. et al.
In: Pain Manage. Nurs., Vol. 22, No. 3, 2021, p. 349-355.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Management of Pain and Anxiety during Bone Marrow Aspiration: An Italian National Survey
T2 - Pain Management Nursing
AU - Liptrott, S.J.
AU - Botti, S.
AU - Bonifazi, F.
AU - Cioce, M.
AU - De Cecco, V.
AU - Pesce, A.R.
AU - Caime, A.
AU - Rostagno, E.
AU - Samarani, E.
AU - Galgano, L.
AU - Ciceri, F.
AU - Orlando, L.
AU - Gargiulo, G.
N1 - Export Date: 18 October 2021 Correspondence Address: Botti, S.; Hematology Unit, Viale Risorgimento 80, Italy; email: stefano.botti@ausl.re.it References: American Society of Anesthesiologists, Practice guidelines for moderate procedural sedation and analgesia 2018: A report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology (2018) Anesthesiology, 128 (3), pp. 437-479; American Society of Anesthesiologists, Continuum of depth of sedation: Definition of general anesthesia and levels of sedation/analgesia|American Society of Anesthesiologists (ASA) (2019), https://www.asahq.org/standards-and-guidelines/continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedationanalgesia, Retrieved from (Accessed 1 February 2020); Audran, M., Maury, E., Bouvard, B., Legrand, E., Baslé, M.F., Chappard, D., Is transiliac bone biopsy a painful procedure? 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PY - 2021
Y1 - 2021
N2 - 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. © 2020 American Society for Pain Management Nursing
AB - 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. © 2020 American Society for Pain Management Nursing
U2 - 10.1016/j.pmn.2020.09.005
DO - 10.1016/j.pmn.2020.09.005
M3 - Article
VL - 22
SP - 349
EP - 355
JO - Pain Manage. Nurs.
JF - Pain Manage. Nurs.
SN - 1524-9042
IS - 3
ER -