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Papers of the Week

2019 Oct-Dec

Indian J Palliat Care



Low-dose Oral Ketamine as a Procedural Analgesia in Pediatric Cancer Patients Undergoing Bone Marrow Aspirations at a Resource-limited Cancer Hospital in India.


Rayala S, Kyander M, Haridass V, Palat G, Ström A, Wiebe T, Brun E, Segerlantz M
Indian J Palliat Care. 2019 Oct-Dec; 25(4):501-507.
PMID: 31673202.


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.