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Intranasal Ketamine Effectiveness in Reducing Intramuscular Injection Pain Before Sedation Among Children

Phase 4
Completed
Conditions
Pain
Intranasal Ketamine
Interventions
Registration Number
NCT06139380
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

Hypothesis: Intranasal administration of ketamine would reduce the intramuscular pain of ketamine injection in children who undergo procedural sedation and analgesia in the emergency department.

Detailed Description

Ketamine is a well-known medication in children's procedural sedation and analgesia. While it provides good analgesia along with sedation, its injection is painful and causes distress in children. Intranasal administration of Ketamine would reduce the intramuscular pain of ketamine injection in children who undergo procedural sedation and analgesia in the emergency department. This will also assess if intranasal administration would affect the depth of sedation and hospital length of stay of this group of patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
84
Inclusion Criteria

• Children who need to undergo procedural sedation and analgesia

Exclusion Criteria
  • Weight over 33 Kg
  • No Consent from parents/patient
  • Needs immediate procedure due to patient's condition
  • Growth/mental retardation
  • Sensory deficit at the site of intramuscular injection

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intranasal ketamineKetamine-
Intranasal sterile waterSterile water-
Primary Outcome Measures
NameTimeMethod
Intramuscular injection painimmediately after Intramuscular injection

This will be assessed at the time of injection using FLACC scale.

Secondary Outcome Measures
NameTimeMethod
Hospital stay duration1 hours on average

This will be assessed using modified Ramsay's sedation scale.

Adverse effects1 hours on average

This will be assessed using the standard definition of the adverse effects.

Trial Locations

Locations (1)

IKHC

🇮🇷

Tehran, Iran, Islamic Republic of

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