Nasal Ketamine for Minor Procedures in Children

• Status: Unknown status
• Trial end date: 2016-12-01
• Target enrollment: 0
• Participant gender: All

Summary

Nasal Ketamine has previously been tested in children for deep sedation or preoperative anxiolysis. The investigators intend to test the efficacy of low dose nasal Ketamine in children undergoing minor procedures in the emergency department.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Kaplan Medical Center
• Treatments: Analgesics; Ketamine; Lidocaine, Prilocaine Drug Combination

Criteria

Inclusion Criteria:

• Children age 4-12 years old presenting to the pediatric ED

• Children determined by the treating physician to require either venipuncture or IV placement

• Children determined by the treating physician to show resistance to the procedure without pre-medication

Exclusion Criteria

• ASA 3 or higher

• Weight below 15 kg or above 50 kg

• Hypoxia below 95% on presentation or noted to be tachypneic for age or dyspneic.

• Judged by staff to need an urgent procedure that cannot be delayed (i.e. Nursing triage levels 1-2)

• An existing source of pain that results in a VAS greater than 3 at triage (i.e. Headache, fracture)

• More than four prior ED visits in the last four months

• Developmentally delayed and unable to reliably rate pain