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Successful use of nitrous oxide during lumbar punctures: A call for nitrous oxide in pediatric oncology clinics
Author(s) -
Livingston Mylynda,
Lawell Miranda,
McAllister Nancy
Publication year - 2017
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.26610
Subject(s) - nitrous oxide , medicine , pediatric oncology , lumbar , lumbar puncture , intensive care medicine , anesthesia , surgery , cancer , cerebrospinal fluid
Numerous reports describe the successful use of nitrous oxide for analgesia in children undergoing painful procedures. Although shown to be safe, effective, and economical, nitrous oxide use is not yet common in pediatric oncology clinics and few reports detail its effectiveness for children undergoing repeated lumbar punctures. We developed a nitrous oxide clinic, and undertook a review of pediatric oncology lumbar puncture records for those patients receiving nitrous oxide in 2011. No major complications were noted. Minor complications were noted in 2% of the procedures. We offer guidelines for establishing such a clinic.