Health Condition 1: 8- Other Procedures
Conditions
Interventions
Intervention1: Fentanyl -Ketamine for sedation in children undergoing flexible fiberoptic bronchoscopy: Ketamine at dose of 1mg/kg intravenous and fentanyl at dose of 1mcg/kg intravenous and additiona
Sponsors
All India Institute of Medical Sciences BHUBANESWAR
Eligibility
Inclusion criteria
Inclusion criteria: All children aged 6 months to 15 years admitted for flexible bronchoscopy in department of Pediatrics, AIIMS Bhubaneswar
Exclusion criteria
Exclusion criteria: 1. Children with difficult airway 2. Children with hemodynamic compromise requiring vasoactive inotropic score >10 3. Children on respiratory support requiring FiO2 >40% or high flow nasal cannula therapy 4. Children who require therapeutic procedures using flexible bronchoscopy like endobronchial biopsy, stent placement, balloon dilatation, foreign body removal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of severe cough episodes during bronchoscopy in either groupTimepoint: Time starting from the administration of sedative medications upto 20 minutes of bronchoscopy | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.The time to achieve Ramsay sedation score 4 after administration of medication 2.Adverse effects of medications like hypotension,hypertension,bradycardia,tachycardia,hypoxemia 3.Bronchoscopy score Timepoint: 1.Time to achieve Ramsay sedation score 4 from the point of administration of sedatives 2.Vitals like heart rate,respiratory rate, Blood pressure,SpO2 5 minutes before administration of sedatives (baseline) then every 5 minutes during and after bronchoscopy for 1 hour 3.Bronchoscopy score is recorded from administration of sedative medications till completion of bronchoscopy | — |
Countries
India
Contacts
Public ContactDr Gopika Ramesh
All India Institute of Medical Sciences,Bhubaneswar
Outcome results
None listed