Comparison of N2O Inhalation and Ketamine in Pediatric PSA

NCT ID: NCT00834730

Last Updated: 2011-09-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2009-12-31

Brief Summary

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* Ketamine provides effective and relatively safe sedation analgesia for primary closure of lacerated pediatric patients
* However, deep sedation and adverse effects suggest the opportunity to develop alternative strategies
* We compared the efficacy and adverse effects of ketamine to those of N2O gas for analgesia and anxiolysis during primary repair of lacerated pediatric patients

Detailed Description

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* There were 32 children who were randomly assigned
* Recovery times were markedly shorter in the N2O group compared with those in the ketamine group (median, 0.0 min (interquartile range \[IQR\], 0.0-4.0 min) vs. median, 21.5 min (IQR, 12.5-37.5 min), N2O vs. ketamine, respectively, p \< 0.05)
* Sedation levels were deeper in the ketamine group than in the N2O group, but pain scales were comparable between groups
* No difference was observed in the satisfaction scores by physicians, parents, or nurses.
* N2O inhalation was preferable to injectable ketamine for pediatric patients because it is safe, allows for a faster recovery, maintains sufficient sedation time, and does not induce unnecessarily deep sedation

Conditions

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Moderate Sedation Laceration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ketamine

Ketamine 2mg/kg IV

Group Type ACTIVE_COMPARATOR

N2O gas vs ketamine

Intervention Type DRUG

Ketamine : 2mg/kg IV N2O : 50%-70% N2O gas

N2O gas

50%-70% N2O gas inhalation

Group Type EXPERIMENTAL

N2O gas vs ketamine

Intervention Type DRUG

Ketamine : 2mg/kg IV N2O : 50%-70% N2O gas

Interventions

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N2O gas vs ketamine

Ketamine : 2mg/kg IV N2O : 50%-70% N2O gas

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Pediatric patients with lacerated wound

Exclusion Criteria

* Contraindication of ketamine or N2O gas
* A wound around eye and mouth
Minimum Eligible Age

36 Months

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jin Hee Lee, Professor

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Bundang Hospital

Locations

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Seoul National University Bundang Hospital

Gyeonggi-do, , South Korea

Site Status

Countries

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South Korea

References

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Lee JH, Kim K, Kim TY, Jo YH, Kim SH, Rhee JE, Heo CY, Eun SC. A randomized comparison of nitrous oxide versus intravenous ketamine for laceration repair in children. Pediatr Emerg Care. 2012 Dec;28(12):1297-301. doi: 10.1097/PEC.0b013e3182768a86.

Reference Type DERIVED
PMID: 23187987 (View on PubMed)

Other Identifiers

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N2O

Identifier Type: -

Identifier Source: org_study_id

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