Sedation and Analgesia, Side Effect of Drug
Conditions
Keywords
vomiting, anti-emetics, ketamine, sedation
Brief summary
The purpose of this study is to evaluate the anti-emetic effect of oral ondansetron. For this evaluation, the investigators will perform a multi-center, double-blind, placebo-controled, randomized study. The investigators assumption is that oral ondansetron prior to intramuscular ketamine will reduce the occurrence of ketamine-induced vomiting.
Detailed description
Methods * a multi-center, double-blind, placebo-controled, randomized study ( 4 tertiary hospital ED) * survey for the occurrence of vomiting at ED and after discharge Primary outcome * the number of vomiting at ED and at home Secondary outcome * parent's satisfaction and ED length of stay
Interventions
2mg (5mL) in \< 15 kg and 4mg (10mL) in 15kg to 30kg
Sponsors
Study design
Eligibility
Inclusion criteria
* children under 18 years of age * children who are planned to admit ketamine intramuscular injection * children with ASA classification class I or II
Exclusion criteria
* don't want to enroll to study * children with condition of contraindication of ketamine (IICP, IIOP, psychosis, brain tumor, thyroid disease, porphyria) * children with condition of contraindication of ondansetron (hypersensitivity to 5-HT3 antagonist, Long QT syndrome, severe liver failure, obstructive ileus) * children under 3 months of age * children whose weight are over 30 kg * children managed by other drug with ketamine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| vomiting at ED stay and 12 hours after discharge | the participants will be followed for the duration of ED stay (upto 24hr) and 12hours after discharge |
Secondary
| Measure | Time frame |
|---|---|
| parent's satisfaction | satisfaction will be surveyed within 48hours after discharge |
| length of emergency department stay | length of stay will be calculated upto 24 hours |
Countries
South Korea