Techniques to Reduce the Severity and Frequency of Emergent Reactions

CHRISTUS Health38 enrolled

Overview

The objectives of this study are first to determine if the power of suggestion will decrease the frequency and severity of emergence reactions after procedural sedation and analgesia with ketamine in the setting of the emergency department. Second, to determine if people dream about what they were thinking about when they were induced with ketamine.

The proposed research will be single blinded (patient) randomized controlled trial with a retrospective component to test the hypothesis that the power of suggestion will reduce the frequency and severity of emergence reactions, even in the setting of the emergency department. The study will be conducted in the emergency department at CHRISTU Spohn Shoreline Hospital. CHRISTUS Spohn Shore hospital is the region's primary acute care center. It houses the Chest Pain, Stroke, and Cancer Centers of CHRISTUS Spohn, and the only level II trauma center in south Texas. It is a major teaching affiliate of Texas A\&M medical school, and serves an inner-city population.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Analgesia

Interventions

Do we speak to them in a way that convinces them to have the dreamBEHAVIORAL

During induction, and depending on what group they are randomized to, the physician will speak to them about having a dream while on the drug

Speaking to them as a regualar personBEHAVIORAL

During induction, if the patient is in group 1, the resident performing procedural sedation will remind the patient about what the patient wanted to dream and ask them to focus on that as the ketamine is being administered. If the patient is in group 2, the resident performing procedural sedation will give no specific instruction to the patient at this point.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Be at least 18 years of age * Required need for procedural sedation and analgesia Exclusion Criteria: * Age\< 18 * Hypertension * Raised Intracranial pressure * Major psychological disorders * Procedures involving laryngel manipulations * History of Laryngeal sapsm History of adverse reactions to ketamine

Locations (1)

CHRISTUS Health

Corpus Christi, Texas, United States

Outcomes

Primary Outcomes

T-Test

Data gathered from post sedation questionnaire, specifically question 5, will be analyzed by comparing the two means of group one and group two using a student's T test,

Time frame: 24 months

STAI-6

To ensure two groups are similar to each other -demographic data, the pre and post opt sedation VAS scores, and the STAI-6 information.

Time frame: 24 months

Data from ClinicalTrials.gov

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