Local Injection of Pain Medication to Reduce Pain After Bone Marrow Procedures in Pediatric Neuroblastoma Patients

RePPAIR -Reducing Procedural Pain and Improving Recovery of Quality of Life in Pediatric Neuroblastoma Patients Undergoing Bone Marrow Procedures: A Prospective Randomized Cross-over Clinical Trial

The purpose of this study is to identify whether or not the addition of a numbing medicine that is injected directly into the site of the bone marrow procedure can reduce pain and the use of opioid pain medication after bone marrow procedures. The addition of this medicine, called ropivacaine, is the experimental part of this study. This is the first time ropivacaine will be directly injected into the bone marrow site at MSKCC Pediatrics.

Inclusion Criteria:

• Diagnosis of neuroblastoma as defined by the International Neuroblastoma Risk Group Staging System (INRGSS)22
• 3 - 18 years of age
• Patient has had prior bone marrow procedures
• English speaking

Exclusion Criteria:

• History of allergy to investigational agent: ropivacaine or other amino amide analgesics
• History of allergy to standard agent: propofol
• Chronic daily opioid requirement
• Lansky/Karnofsky Score < 60
• Inability to comply with protocol requirements including refusal to forego pre-procedural opioid use
• Patient is receiving additional potentially painful interventions (e.g. central line insertion/removal) concurrent with the bone marrow procedure