Intranasal Medications for Child Laceration Repair
IN Midazolam vs IN Dexmedetomidine vs IN Ketamine During Minimal Procedures in Pediatric ED
Recruiting
Phase 4Interventional Study
Laceration of SkinAnxietyDischarge Time
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Healthy Volunteers Welcome
You do not need to have the condition being studied to take part.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
1 – 5
Sex
Any
Trial phase
Phase 4
Study type
Interventional
Purpose
Supportive Care
Participants needed
90 (estimated)
Sponsor
University of Oklahoma · Other
Who this trial is looking for
This trial is looking for children aged 1-5 who need stitches for small cuts. Participants will receive one of three medications through the nose to help them feel more comfortable during the procedure.
Are You a Good Fit for This Trial?
You may be able to join if
I am between 1 and 5 years old
I need suture repair for a cut less than or equal to 5cm
My parent or caregiver speaks English
You may not be able to join if
I am younger than 12 months or older than 5 years
I need stitches for a cut greater than 5cm
I have an allergy to Midazolam, Dexmedetomidine, Ketamine, or other sedatives
I have abnormal vital signs for my age
I have a history of heart, respiratory, kidney, or liver disease
I have known electrolyte problems
I have nasal or facial injury or deformity
I have an abnormal neurological exam
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
Pain in young children has been universally under-recognized due to their inability to describe or localize pain. Improvements in pharmacological interventions are necessary to optimize patient and family experience and allow for successful and efficient procedure completion. This is the first study that will compare three intranasal medications (Intranasal Midazolam, Dexmedetomidine, and Ketamine…
Pain in young children has been universally under-recognized due to their inability to describe or localize pain. Improvements in pharmacological interventions are necessary to optimize patient and family experience and allow for successful and efficient procedure completion. This is the first study that will compare three intranasal medications (Intranasal Midazolam, Dexmedetomidine, and Ketamine) to evaluate the length of stay after medication administration along with patient and provider satisfaction. The objective of this study is to demonstrate superior intranasal anxiolysis for pediatric laceration repairs with the shortest emergency department stay and highest patient and provider satisfaction. Based on previous studies and medication pharmacokinetics, we hypothesize that Intranasal Ketamine will have the shortest Emergency Department (ED) stay followed by Midazolam and then Dexmedetomidine with the longest stay; however, Dexmedetomidine will have the highest patient and provider satisfaction followed by Ketamine and then Midazolam.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Age 1-5 years old
* Presents to the ED for suture repair for lacerations less than or equal to 5cm in length
* Parent(s)/Caregiver(s) speak English
Exclusion Criteria:
* Younger than 12 months of age or older than 5 years old
* Suture repair needed for lacerations are greate…
Inclusion Criteria:
* Age 1-5 years old
* Presents to the ED for suture repair for lacerations less than or equal to 5cm in length
* Parent(s)/Caregiver(s) speak English
Exclusion Criteria:
* Younger than 12 months of age or older than 5 years old
* Suture repair needed for lacerations are greater than 5cm in length
* Known allergy or adverse effect to Midazolam, Dexmedetomidine, Ketamine, or any other sedatives
* Any abnormal vital signs for age, especially heart rate and blood pressure
* History of Cardiac, respiratory, renal, or liver disease
* Known electrolyte abnormalities
* Any ocular trauma, nasal injury, nasal deformity, significant nasal congestion, abnormalities in the nasal or oral mucosa, facial deformity, or facial injury
* Home medications include beta blockers or any other blood pressure lowering agents Classified American Society of Anesthesiologists III and above
* Known or anticipated difficult airway
* Abnormal neurological exam
* Parent(s)/Caregiver(s) do not speak English
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