The purpose of this study is to determine if positive imagery therapy while using ketamine in procedural sedation reduces the number of emergence reactions and impacts pre and post-procedural anxiety.
This is a multi-center, randomized controlled trial looking at if positive imagery therapy while using ketamine during procedural sedation will reduce the number of emergence reactions and impacts pre and post procedural anxiety. After informed consent has been established and the subject is determined to meet eligibility criteria, participants will be randomized into 2 groups. The interventional group will undergo positive imagery therapy during sedation and the control will not. The duration of subject participation will be from the onset of sedation beginning until the patient is recovered.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
180
Perform procedural sedation with slow push of ketamine, 1.5mg/kg, over thirty seconds while reading the Positive Imagery Therapy.
Mercy Health St Elizabeth Youngstown
Youngstown, Ohio, United States
RECRUITINGRichmond Agitation Sedation Score (RASS) for those receiving procedural sedation with and without ketamine
RASS score measured is -5 to +4. A lower score indicates someone is more alert, calm, drowsy indicating the patient has no emergence reaction. Higher score indicates an emergence reaction occurred.
Time frame: From beginning of ketamine administration until patient returns to baseline. Estimated less than 1 hour.
Pittsburgh Agitation Score for those receiving procedural sedation with and without ketamine
PAS is measures from 0-16. A lower score indicated no agitation or emergence reaction while a higher score does.
Time frame: From beginning of ketamine administration until patient returns to baseline. Estimated less than 1 hour.
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