Open AccessLow-dose oral ketamine as a procedural analgesia in pediatric cancer patients undergoing bone marrow aspirations at a resource-limited cancer hospital in India
Author(s) -
Spandana Rayala,
Melker Kyander,
Vikranth Haridass,
Gayatri Palat,
Axel Ström,
Thomas Wiebe,
Eva Brun,
Mikael Segerlantz
Publication year - 2019
Publication title -
indian journal of palliative care/indian journal of palliative care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.395
H-Index - 26
eISSN - 1998-3735
pISSN - 0973-1075
DOI - 10.4103/ijpc.ijpc_110_19
Subject(s) - medicine , ketamine , midazolam , analgesic , placebo , cancer , anesthesia , sedation , alternative medicine , pathology
Many pediatric cancer patients undergo repeated bone marrow aspirations (BMAs) for diagnostic and treatment evaluation purposes. Full anesthesia is the standard of care during this procedure in high-income countries. At hospitals with low resources in low/middle-income countries many children undergo these painful procedures without sufficient pain relief. This study aimed to evaluate the usefulness of low-dose oral ketamine as a procedural analgesic in a low-resource pediatric cancer care department.