Health Condition 1: B- Imaging
Conditions
Interventions
Intervention1: PARENTS LAP WITH KETAMINE: a combination of midazolam 0.05 mg/kg, glycopyrrolate
0.01 mg/kg and ketamine 0.5 mg/kg iv with the child in the parents lap inside the CT suite. Ketamine
wil
Sponsors
Post Graduate Institute of Medical Education ResearchChandigarh
Eligibility
Inclusion criteria
Inclusion criteria: child with diagnosed complex cyanotic congenital heart disease (ASA III or IV) with baseline saturation less than 90 per cent requiring sedation for cardiac CT angiography.
Exclusion criteria
Exclusion criteria: 1. Acyanotic CHD 2. Older children >3 years 3. refusal of consent by parents 4. Active URI 5. Contraindication for contrast (CKD) 6. Contrast allergy 7. Full stomach children
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To quantify the difference in dose of ketamine required to achieve a Pediatric Sedation State Scale of 2 between the two techniques (lap vs table).Timepoint: From the onset of the sedation process till the achievement of PSSS 2. up to 30 minutes. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To record any episodes of desaturation and bradycardia (reversal of shunt). 2. To record the total amount of ketamine required during the whole procedure. 3. To compare the time to achieve the Paediatric Sedation State Scale of 2 4. Time required to awaken the child, the Watcha scale will be noted every 10 minutes in the recovery room till a Steward scale of 7 has been achieved.Timepoint: From 30 minutes before the sedation till discharge | — |
Countries
India
Contacts
Public ContactAJAY SINGH
Post Graduate Institute of Medical Education & Research, Chandigarh
Outcome results
None listed