Condition 1: Patients requiring LP. Condition 2: Patients requiring intubation. Condition 3: Patients with limb dislocation or fracture. Other reaction to spinal and lumbar puncture Respiratory disorder, unspecified Dislocation, sprain and strain of unspecified body region
Conditions
Interventions
Intervention 1: Intervention group: In the first intervention group, intravenous fentanyl (1–2 micrograms per kilogram) will be administered first, followed by slow intravenous administration of propo
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
All
Age
3 Months to 18 Years
Inclusion criteria
Inclusion criteria: Children aged 3 months to 18 years who are referred to the emergency department of Mofid Children’s Hospital Patients who require procedural sedation
Exclusion criteria
Exclusion criteria: Patients with hemodynamic instability Patients with a history of cardiac diseases Children with known allergies to the study medications Children with allergies to eggs or soy Children classified as ASA physical status class 5 (high anesthesia risk)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful completion of the procedure. Timepoint: After the intervention. Method of measurement: "Success or failure of the procedure (which may include suturing, limb casting, lumbar puncture, intubation, etc.)".;Patient recovery time after sedation. Timepoint: After the intervention. Method of measurement: Measurement of the time interval between the administration of the last dose of sedative medication and the point at which the patient is deemed ready for discharge from the emergency department based on post-sedation discharge criteria.;Procedural distress. Timepoint: After the intervention. Method of measurement: To assess procedural distress in patients, the Observational Scale of Behavioral Distress (OSBD) will be used by an independent observer (a trained nurse from the emergency department). This scale is utilized to evaluate the level of behavioral distress in children under 18 years of age undergoing medical interventions.;Depth of sedation. Timepoint: After the intervention. Method of measurement: The Ramsay Sedation Scale will be used to assess the depth of sedation. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactKourosh Soltaniyeh Zanjani
Shahid Beheshti University of Medical Sciences
Outcome results
None listed