Conscious Sedation
Conditions
Keywords
ketamine, children, emesis
Brief summary
Ondansetron, a commonly used anti-vomiting medication, may reduce the occurrence of vomiting associated with ketamine during procedural sedation in the pediatric emergency department.
Interventions
ondansetron (0.15 mg/kg/dose; maximum dose 4 mg)
Sponsors
Study design
Eligibility
Inclusion criteria
* age 1-21 years, ASA I or II, fracture of dislocation reduction
Exclusion criteria
* age \< 1 year, ASA III or IV, hypertension, glaucoma, acute globe injury, increased intracranial pressure or central nervous system mass lesion, major psychiatric disorder, porphyria, previous adverse reaction to ketamine or ondansetron, parent, guardian or patient unwilling to provide informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of vomiting | Duration of ED stay and after discharge | The primary outcomes in this study were vomiting in the ED and after discharge, as determined by telephone follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of ED stay | Duration of ED stay | Secondary outcome measures were length of ED stay |
| Satisfaction with Sedation | Length of ED stay. | patient or parent satisfaction with their sedation |
Countries
United States