Lidocaine as Local Anesthetics in Children Under Ketamine Sedation

Efficacy of Lidocaine as Local Anesthetics in Children Under Procedural Sedation and Analgesia Using Ketamine

Ketamine seems an obvious choice in the setting of an emergency department in laceration repair.

Lidocaine is the local anesthetics widespread used.

Ketamine leads to dissociative amnesia.

Theoretically , lidocaine is not useful in laceration repair using ketamine.

However, lidocaine is used with ketamine in many emergency department.

The investigators compare lidocaine with placebo as an adjunct to ketamine sedation in children undergoing primary closure

Inclusion Criteria:

• patients who need suturing for laceration under procedural anesthesia using ketamine

Exclusion Criteria:

• contraindication to ketamine and lidocaine
• patients involved to other studies
• more or equal to American Society of Anesthesiologist (ASA) class III
• not alert