Medical and pediatric oncology
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Med. Pediatr. Oncol. · Mar 2001
Letter Randomized Controlled Trial Clinical TrialNeoadjuvant chemotherapy in osteosarcoma: the experience at the Hospital Infantil de Mexico from August 1996 to August 1999.
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Med. Pediatr. Oncol. · Mar 2001
Randomized Controlled Trial Clinical TrialLumbar puncture in pediatric oncology: conscious sedation vs. general anesthesia.
Lumbar punctures (LP) generally have been performed with conscious sedation (CS) but are increasingly performed using general anesthesia (GA) owing to the belief that this is less distressing. The aim of this study was to compare these two methods concerning distress, discomfort, pain, well-being and security after the LP, and problems with the LP. ⋯ Outcomes for CS and GA in LP were similar. Although there were failures with the CS model, most preferred it to GA. LP in CS also saved time and medical resources. An alternative approach would be to have a pediatric anesthesiologist available at the oncology ward for these elective LPs to provide the sedation or anesthesia required by each individual.