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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
84
This is medication which is commonly used for sedation in the emergency department. At the analgesic dose, this medication can be used to reduce the pain via other routes such as intranasal.
Intranasal sterile water was administered via syringe.
IKHC
Tehran, Iran
Intramuscular injection pain
This will be assessed at the time of injection using FLACC scale.
Time frame: immediately after Intramuscular injection
Hospital stay duration
This will be assessed using modified Ramsay's sedation scale.
Time frame: 1 hours on average
Adverse effects
This will be assessed using the standard definition of the adverse effects.
Time frame: 1 hours on average
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