[Pain in lumbar puncture. Results of a 2-year discussion at the French Society of Pediatric Oncology].
BACKGROUND
Lumbar puncture is a common procedure in pediatric onco-hematology. Repeated invasive painful procedures may contribute to increase distress displayed during medical treatment, and cause regression, depression and other psychological disorders.


METHODS
A two-year workshop of the Société française d'oncologie pédiatrique was reviewed through a questionnaire assessing changes in technical management of lumbar puncture, local anesthesia, sedation and cognitive-behavioral interventions.


RESULTS
Significant changes were found for pain assessment, local anesthesia procedures, and nitrous oxide administration. The extensive use of the Emla cream largely contributed to reduce pain. Anxiety however remained an unsolved problem, particularly among young children.


CONCLUSIONS
Pain in pediatrics remains a major challenge. This workshop is a model of reflexion to achieve a better management of pain during invasive medical procedures.
Bouffet
E
E
Service de pédiatrie, centre Léon-Bérard, Lyon, France.
Douard
M C
MC
Annequin
D
D
Castaing
M C
MC
Pichard-Léandri
E
E
D000779:Anesthetics, Local / Q000627:therapeutic use; D002648:Child; D004338:Drug Combinations; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008012:Lidocaine / Q000627:therapeutic use; D000077442:Lidocaine, Prilocaine Drug Combination; D009609:Nitrous Oxide / Q000627:therapeutic use; D010146:Pain / Q000209:etiology* / Q000517:prevention & control; D059408:Pain Management; D011292:Premedication; D011318:Prilocaine / Q000627:therapeutic use; D013129:Spinal Puncture / Q000009:adverse effects* / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data
D000779:Anesthetics, Local; D004338:Drug Combinations; D006993:Hypnotics and Sedatives; D000077442:Lidocaine, Prilocaine Drug Combination; D011318:Prilocaine; D008012:Lidocaine; D009609:Nitrous Oxide
La douleur de la ponction lombaire. Résultats de 2 années de réflexion au sein de la Société Française d'Oncologie Pédiatrique.