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[Correspondence] Conscious sedation or general anaesthesia for lumbar puncture in children in Poland

Children with acute lymphoblastic leukaemia who are treated according to the intercontinental ALL-IC-BFM-2009 protocol have between 15 and 22 lumbar punctures with intrathecal drug administration during the first 12 months of therapy, depending on risk group and central nervous system involvement. Families in Poland are putting considerable pressure on paediatric oncology centres to do lumbar punctures under general anaesthesia, instead of using conscious sedation alone. Conscious sedation is usually done with midazolam, analgesics, and topical anaesthetic ointment.