Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 64 ASA I and II children aged between 1-10years scheduled for spinal dysraphism surgery will be enrolled in this study.
Exclusion criteria
Exclusion criteria: Refusal of consent Known allergy to dexmedetomidine or ketamine ASA III or IV Children with cardiac anomalies Children with seizures Children with upper respiratory tract infection Children with liver disease Children with mental retardation Difficult cannulation (three or more attempts)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the effectiveness of sedation between intranasal atomised dexmedetomidine versus intranasal atomised ketamine in pediatric population aged 1-10yr undergoing spinal dysraphism surgery by using University of Michigan Sedation Scale (UMSS).Timepoint: At 30 minutes post drug administration via intranasal route. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the hemodynamic changes (HR, MAP, SpO2) intraoperativelyTimepoint: 35 min, 40 min, 45 min, 50 min, 55 min, 60 min, 65 min, 70 min, 75 min, 80 min, 85 min and 90 min after drug administration;To compare the response to parental separation assessed by Parental Separation Anxiety Score (PSAS)Timepoint: 30 min after drug administration;To compare the successful rate of venous canulation assessed by Groningen Distress Rating ScoreTimepoint: 30 min after drug administration;To compare the time for post operative discharge from PACU by Modified Aldrete ScoringTimepoint: At the end of PACU stay;To compare incidence of Emergence agitation assessed by using WATCHA ScaleTimepoint: At the end of surgery;To compare mask acceptance assessed by Mask Acceptance ScaleTimepoint: 30 min after drug administration | — |
Countries
India
Contacts
Postgraduate institute of medical Education and research, Chandigarh