title: Pain Management for Children during Bone Marrow and Stem Cell Transplantation.
abstract: Pain management for children during bone marrow and stem cell transplantation is a significant clinical challenge for the health care team. Pain management strategies vary by institution. This paper reports on the use of a pediatric pain management service and patient- and caregiver-controlled analgesia for children undergoing transplant. This 2-year retrospective chart review examined the pain management practices and outcomes of children undergoing bone marrow and stem cell transplants in a large urban teaching hospital during 2008 and 2009. We concluded that patient- and caregiver-controlled analgesia is a well-tolerated modality for pain control during hospitalization for transplantation at this institution.
authors.affiliation: Department of Pediatric Pain Management, Johns Hopkins Hospital, Baltimore, Maryland.
authors.forename: Kelly
authors.initials: K
authors.lastname: Vasquenza
authors.affiliation: Department of Pediatric Oncology, Baltimore, Maryland. Electronic address: rubleka@jhmi.edu.
authors.forename: Kathy
authors.initials: K
authors.lastname: Ruble
authors.affiliation: Department of Oncology and Pediatrics Oncology, Baltimore, Maryland.
authors.forename: Allen
authors.initials: A
authors.lastname: Chen
authors.affiliation: Department of Pediatric Pain Management, Johns Hopkins Hospital, Baltimore, Maryland.
authors.forename: Carol
authors.initials: C
authors.lastname: Billett
authors.affiliation: Department of Pediatric Pain Management, Johns Hopkins Hospital, Baltimore, Maryland.
authors.forename: Lori
authors.initials: L
authors.lastname: Kozlowski
authors.affiliation: Department of Pediatric Pain Management, Johns Hopkins Hospital, Baltimore, Maryland.
authors.forename: Sara
authors.initials: S
authors.lastname: Atwater
authors.affiliation: Department of Pediatric Pain Management, Johns Hopkins Hospital, Baltimore, Maryland; Department of Anesthesiology and Critical Care Medicine, Baltimore, Maryland.
authors.forename: Sabine
authors.initials: S
authors.lastname: Kost-Byerly
mesh_terms: D000293:Adolescent; D016058:Analgesia, Patient-Controlled / Q000451:nursing; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects; D016026:Bone Marrow Transplantation / Q000451:nursing*; D017028:Caregivers; D002648:Child; D002675:Child, Preschool; D005260:Female; D006760:Hospitalization; D006784:Hospitals, Teaching; D006801:Humans; D007223:Infant; D008297:Male; D010146:Pain / Q000451:nursing / Q000517:prevention & control*; D059408:Pain Management / Q000451:nursing; D010147:Pain Measurement; D010149:Postoperative Pain / Q000451:nursing / Q000517:prevention & control; D012189:Retrospective Studies; D033581:Stem Cell Transplantation / Q000451:nursing*
chemical_list: D000701:Analgesics, Opioid