What should we pay attention to when performing bone puncture in children?

Pediatric bone aspiration is a medical procedure used to obtain a sample of bone marrow for diagnosis or treatment.  When performing bone puncture in children, you need to pay attention to the following aspects:

Choose the appropriate puncture site: Choose the appropriate puncture site based on the child's age and size.  Commonly used puncture sites include the anterior superior iliac spine, posterior superior iliac spine, and sternal manubrium.  When selecting the puncture site, the child's skeletal development and operability should be taken into consideration.

Ensure sterile operation: Before performing bone puncture, the operating environment must be ensured to be sterile to reduce the risk of infection.  Doctors should wear sterile gloves and masks and disinfect the puncture site.

Appropriate anesthesia: Depending on the child's age and cooperation, local or general anesthesia may be needed to relieve pain.  The selection and use of anesthetic drugs should follow professional guidelines and physician recommendations.

Pay attention to puncture techniques: Doctors should master correct puncture techniques when performing bone puncture, including appropriate strength, angle and direction.  Avoid excessive force or large angles to avoid damage to surrounding tissues and organs.

Control the amount of bone marrow extracted: When extracting bone marrow, doctors should control the amount of bone marrow extracted as needed.  Drawing too much may dilute the bone marrow fluid, while drawing too little may affect the diagnosis.

Postoperative care and observation: After the bone puncture is completed, the doctor should apply pressure bandage to the puncture site and observe the child's reaction.  If there are any abnormalities such as bleeding, pain or infection, they should be dealt with promptly.

Provide psychological support: Children may be afraid or nervous about bone puncture.  Doctors should provide appropriate psychological support and comfort to make them relax and cooperate with the operation.

In short, when performing bone puncture in children, doctors need to pay attention to selecting the appropriate puncture site, ensuring sterile operation, mastering correct puncture techniques, controlling the amount of bone marrow extracted, and providing postoperative care and psychological support.  At the same time, doctors should also fully communicate with children and their parents to explain the purpose and process of bone puncture to relieve their tension.