소아골수천자 시술에 적합한 진정요법제 선정을 위한 근거기반간호 사례

• 영문명: Evidence-based Nursing Case for Selection of Appropriate Sedative Therapy in Pediatric Bone Marrow Biopsy
• 발행기관: 한국근거기반간호학회
• 저자명: 강애진 최은석 두윤숙 김영선 서유리 김정혜 임은영
• 간행물 정보: 『근거와 간호』제11권 제1호, 7~12쪽, 전체 6쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2023.12.31

국문 초록

Purpose: This case study aimed to provide a optimal sedation guidelines for pediatric patients receiving Bone Marrow Biopsy and Aspiration. Methods: The PICO format was used to develop a clinical practice question. A systematic search was carried out in PubMed, EMBASE, CINAHL, Cochrane, RISS and practice guidelines of professional association. In total, 157 articles were screened, and eight articles were selected in this study. Four reviewers independently extracted data and assessed quality. Study findings were summarized and evaluated the quality of evidence using SIGN and GRADE. Results: The SIGN grade for Ketamine-Midazolam seda-tion was "A", which was applied to clinical practice from August 2020, and a comparative study was conducted. Ketamine-Midazol-am-Pethidine (KMP) sedations used from March to July 2020 and Ketamine-Midazolam (KM) sedations used from August to Decem-ber 2020. Both groups achieved successful sedation in all cases, therefore the need for additional sedative medication (KM=1.04 ver-sus KMP=1.01, p=.978) was similar. Pain frequency (KM=5.9% versus KMP=9.0%, p=.531) and lowest saturation level (KM=97.97 versus KMP=97.6, p=.173) were equivalent between the two group. Conclusion: Ketamine-Midazolam sedation can provide an ap-propriate level of sedation and reduce adverse events in children undergoing bone marrow aspiration and biopsy.

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키워드

Pediatric sedation Bone marrow biopsy and aspiration Evidence-based nursing