Management of the Procedural Pain Induced by Bone Marrow Biopsies: An Observational Study

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Author Info

Audrey Fawoubo Colombe Tricou Elise Perceau-Chambard Guillaume Economos Marilene Filbet Murielle Ruer Sophie Munier

Corresponding Author

Marilene Filbet
Centre de Soins Palliatifs de Lyon Sud, Centre Hospitalier Lyon Sud, Lyon, France

A B S T R A C T

Introduction: Bone marrow biopsy is an investigation procedure in hematology which might lead to procedural pain. Therefore, our study aimed to assess procedural pain intensity and to identify factors associated with pain experience. Methods: We performed an observational study of consecutive patients who underwent a bone marrow biopsy in a tertiary hospital hematology ward. The pain was assessed using a visual analogue scale (0-100 mm) before, during and after the procedure. We also collected data as premedication strategy, anxiety, physician’s experience and the experience of a previous biopsy. Results: Forty consecutive patients were recruited. The biopsies were mostly performed for diagnostic purposes (45%). Thirty percent had local anesthesia alone and 70% had local anesthesia plus any other medication. The mean pain before the procedure was 9mm (SD=1.7), during 36mm (SD=2.7) and after 9.5mm (SD=1.0). No statistical difference has been shown between the different pain prophylaxis (p=0.622). The level of anxiety before the procedure was significantly correlated with the procedural pain experienced (r2=0.323, p=0.042), while the length of the procedure and previous experience of the procedure were not. Conclusion: This study suggests that bone marrow procedural pain can be improved and highlights several promising mitigation-strategies to address this issue.

Article Info

Article Type

Research Article

Publication history

Received: Tue 10, Mar 2020
Accepted: Sat 28, Mar 2020
Published: Tue 31, Mar 2020

Copyright

© 2023 Marilene Filbet . This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.ACO.2020.01.06