General anaesthesia or conscious sedation for @entity158 in XXXX : the family's perspective.

@entity1 @entity5 @entity26 @entity3810 @entity2614 @entity158 @entity1363
BACKGROUND: Until recently, @entity1363 sedation was routinely used in our institution for bone marrow aspirates and lumbar punctures in @entity1 with @entity5 . It has been perceived by many doctors and nurses as being well tolerated by @entity1 and their families. AIM: To compare the efficacy of inhalational general anaesthesia and @entity1363 sedation for these procedures. METHODS: A total of 96 @entity1 with @entity5 , who received either inhalational general anaesthesia with @entity2614 , @entity3810 , and @entity26 (GA) or sedation with oral or nasal @entity1363 (SED) as part of their routine preparation for procedures were studied. The experiences of these @entity1 were examined during their current procedure and during their first ever procedure. Main outcome measures were the degree of physical restraint used on the @entity1 , and the levels of distress and @entity158 experienced by the @entity1 during the current procedure and during the first procedure. The family's preference for future procedures was also determined. RESULTS: During 102 procedures under GA, restraint was needed on four occasions (4%) when the anaesthetic mask was first applied, minimal @entity158 was reported, and @entity1 were reported as distressed about 25% of the time. During 80 SED procedures, restraint was required in 94%, firm restraint was required in 66%, the @entity1 could not be restrained in 14%, median @entity158 score was 6 (scale 0 (no @entity158 ) to 6 (maximum @entity158 )), and 90% of the parents reported distress in their @entity1 . Ninety per cent of families wanted GA for future procedures. Many families reported dissatisfaction with the sedation regime and raised concerns about the restraint used on their @entity1 . CONCLUSIONS: This general anaesthetic regime minimised the need for restraint and was associated with low levels of @entity158 and distress. The sedation regime, by contrast, was much less effective. There was a significant disparity between the perceptions of health professionals and those of families with respect to how @entity1 coped with @entity158 .
