Health Condition 1: R451- Restlessness and agitation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Males and females between age of 18 and 65 years presenting to emergency department with agitation. Agitation being defined as psychomotor agitation or violent behavior assessed with Altered Mental Status Scale (AMSS) score of 3 or more.
Exclusion criteria
Exclusion criteria: 1.Patients with age less than 18 years. 2.Patients with age more than 65 years. 3.Pregnant or breast-feeding patients. 4.Known Hypersensitivity/allergy to given drugs. 5.Patients having known extrapyramidal symptoms or parkinsonism. 6.Individuals having pre-existing cardiovascular illness (CAD/ Previous h/o cardiac arrest/ sustained arrhythmias/ Family history of sudden cardiac death). 7.Individuals having pre-existing respiratory illness (Asthma or COPD). 8.Individuals with known pre-existing CVA or intracranial lesion. 9.Individuals having seizure disorder. 10.Individuals/LAR who fail to give valid consent. 11.Patients with known QTc prolongation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compare IM haloperidol to IM olanzapine in terms of proportion of patients adequately sedated , defined with Altered Mental Status Scale score of 0 or less.Timepoint: 15 mins | — |
Secondary
| Measure | Time frame |
|---|---|
| Need for rescue medicationsTimepoint: If adequate sedation is not achieved by study medications and the clinician feel the need for administering additional medications for calming the patient.;Safety in terms of intubation/hypotension/arrhythmia/QTc prolongation/extrapyramidal side effects.Timepoint: Patients will be observed for above adverse affects for 12 hours or till he/she is discharged/admitted into respective departments (whichever is earlier) | — |
Countries
India
Contacts
All India Institute of Medical Sciences, New Delhi