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Journal of Pediatric Oncology Nursing
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Conscious Sedation of Pediatric Oncology Patients for Painful Procedures: Development and Implementation of a Clinical Practice Protocol

Catherine Fiona Macpherson, RN, BScN

Department of Pediatric Hematology/Oncology, Children's Hospital of Western Ontario, London, Ontario, Canada, Department of Pediatric Hematology/Oncology, Henry Ford Health System, Detroit, MI

Laurie A. Lunciblad, RN, CS, CPON

Department of Pediatric Hematology/Oncology, Children's Hospital of Western Ontario, London, Ontario, Canada, Department of Pediatric Hematology/Oncology, Henry Ford Health System, Detroit, MI

Pain during treatment procedures is often identified as the most distressing aspect of the entire cancer experience for a child with cancer. The use of conscious sedation may reduce this procedure-related pain and distress. A clinical practice protocol is necessary to maximize the efficacy and safety of conscious sedation use. In this article, the processes of developing and implementing a conscious sedation protocol for pediatric oncology patients undergoing painful procedures are presented. The protocol itself is included. A review of the literature on conscious sedation is presented, and implications for pediatric oncology nursing practice are discussed.

Journal of Pediatric Oncology Nursing, Vol. 14, No. 1, 33-42 (1997)
DOI: 10.1177/104345429701400106
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