Safety and efficacy of jet anesthesia for bone marrow aspirations.
Aspirations or Jamshidi needle biopsies (n = 287) of bone marrow were performed on children and adolescents with acute leukemia or other malignant disease following the use of a spring-loaded instrument that delivered local anesthetic in a jet spray; 89% of the patients were receiving chemotherapy, 12% were thrombocytopenic, and 23% of the 269 patients who were afebrile at the time of the procedure were severely neutropenic. None of these patients had an infection or a hemorrhage as a complication of the procedure. We conclude that not only is this procedure safe, but it is also much less painful than the traditional method of local anesthetic infiltration using a syringe and needle.
D000293:Adolescent; D000776:Anesthesiology / Q000295:instrumentation*; D001707:Biopsy, Needle; D002648:Child; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D006405:Hematology / Q000295:instrumentation*; D006801:Humans; D007223:Infant; D007945:Leukemia, Lymphoid / Q000175:diagnosis*