Procedural Sedation for Painful Orthopedic Manipulations With Propofol vs. Midazolam/Ketamine in the Adult Emergency Department
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- The effectiveness and safety profile of procedural sedation using propofol versus midazolam/ketamine.
研究概览
简要总结
The use of procedural sedation and analgesia (PSA) to accomplish painful procedures in the emergency department (ED) has become a standard of practice over the last decade. Substantial variance exists regarding usage of medication for PSA, and many anesthetic agents have been proposed for this use.
To our knowledge no head to head study compared the clinical effectiveness, safety profile and amnestic properties of midazolam/ketamine vs. propofol regimens for PSA in the adult ED setting.
This prospective randomized trail can will help to evaluate the effectiveness and safety profile of Midazolam/katamine regimen for ED PSA in adults and will contribute to the discussion regarding propofol roll in the ED.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with orthopedic injuries requiring painful manipulation (i.e. reduction of fracture or dislocation, drainage of abscess, suture of extensive laceration)
- •Age between18-65 years
- •American Society of Anesthesiologists (ASA) score of 1 or 2
- •Systolic blood pressure higher than 90 mmHg and lower than 160 mmHg before initiating sedation
- •Willingness and ability to provide an informed consent
- •No known hypersensitivity to either medication
- •No evidence of intoxication
- •No recent heavy meal.
排除标准
- •Pregnant women and patients who do not meet the above criteria will be excluded.
研究组 & 干预措施
midazolam/ketamine
Patients with orthopedic injuries requiring painful manipulation
干预措施: Ketamine/Midazolam (Drug)
propofol
Patients with orthopedic injuries requiring painful manipulation
干预措施: Propofol (Drug)
结局指标
主要结局
The effectiveness and safety profile of procedural sedation using propofol versus midazolam/ketamine.
时间窗: outcome measures will be monitored continuously and will be documented every few minutes from initiating sedation until the patient returns to his/her basic mental status
次要结局
- The amnestic properties of procedural sedation with propofol versus midazolam/ketamine.(Recall issues will be assessed after the patient returns to his/her basic mental status and within 72 hours from the procedure (either on a follow up visit or by a phone call))