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Biomedical subjects

B Tesno

Publications and source records attributed to B Tesno.

2 recordsLinked to original sources

A comprehensive pediatric bone marrow transplant documentation tool.

PURPOSE/OBJECTIVES: To describe the development and use of a tool to document assessment and provision of education to children undergoing bone marrow transplantation (BMT) and their families. DATA SOURCES: A hospital's BMT Clinical Issues Committee, BMT staff, and hospital standards. DATA SYNTHESIS: A comprehensive tool was developed to complement the hospital's admission tool to facilitate assessment and documentation of BMT-specific education of the patient and family. The implementation of the tool was specifically designed to facilitate its use across outpatient and inpatient settings. CONCLUSIONS: Based on quality assurance indicators, the tool has succeeded in documenting appropriate education activities. IMPLICATIONS FOR NURSING PRACTICE: A consistent and organized approach to documentation is beneficial to nursing practice. This tool can be adapted to any clinical situation where educational needs are great.

Bone Marrow Transplantation↗

Use of caudal block for pain control following bone marrow harvest in children.

PURPOSE: After the harvesting of bone marrow for use in transplantation, pain control needs are greatest in the first 12 to 24 hours. This is also the time during which systemic side effects of parenterally administered narcotics are greatest as a result of the recent general anesthetic. We examined the role of regional anesthesia as an adjunct to pain management in pediatric patients undergoing bone marrow harvest. PATIENTS AND METHODS: Ten pediatric bone marrow donors were treated with intraoperative caudal blocks using bupivacaine or a combination of bupivacaine and morphine. RESULTS: Donors who received regional anesthesia had a significant decrease in postoperative parenteral narcotic requirement and fewer systemic complications when compared with a control group of 10 age-matched children who did not receive the caudal block. CONCLUSIONS: Regional anesthesia with caudal block can decrease the morbidity associated with bone marrow harvest in donors.

Adolescent↗