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Ketamine for bone marrow aspiration and trephine biopsy in children
1Department of Haematology, Armed Forces Institute of Pathology, CMH, Rawalpindi.
JPMA. the Journal of the Pakistan Medical Association
|March 25, 1998
Abstract:
To make bone marrow aspiration and trephine biopsy less painful and more acceptable in children a short acting anaesthetic ketamine was used in a dose of 1-2 mg/kg body weight intravenously or 4-5 mg/kg intramuscularly. One hundred cases aged 2 to 13 years were studied. The actual procedure time ranged between 20 seconds and 3 minutes, adequate samples were obtained in 80% of children on first attempt. Vomiting was the only side effect noted in two children. Ketamine is safe and recommended in all children undergoing bone marrow aspiration and trephine biopsies.