Ketamine seems an obvious choice in the setting of an emergency department in laceration repair. Lidocaine is the local anesthetics widespread used. Ketamine leads to dissociative amnesia. Theoretically , lidocaine is not useful in laceration repair using ketamine. However, lidocaine is used with ketamine in many emergency department. The investigators compare lidocaine with placebo as an adjunct to ketamine sedation in children undergoing primary closure
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
58
Normal saline will be injected subcutaneously as a placebo for lidocaine in study group of children.
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
RECRUITINGChildren's Hospital of Eastern Ontario Pain Scale (CHEOPS
The investigators will measure pain scale of sedated children with the CHEOPS (Children's Hospital of Eastern Ontario Pain Scale) during suturing of lacerated wound.
Time frame: up to 1 hour
Sedation scale
The investigators will measure sedation scale with Ramsey Sedation Scale.
Time frame: up to 1 hour
Complication
The investigators will measure complication with continuous oxygen saturation by pulse oximetry (SpO2) and ECG monitoring and record the monitoring result every 5 minutes.
Time frame: up to 1 hour
Satisfaction of parents and clinicians
The investigators will measure Drs. and care givers' satisfaction rate using numeric rating scale
Time frame: up to 1 hour
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