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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lidocaine | Experimental | Proper amount of lidocaine will be injected lacerated wound.
|
|
| Normal saline | Placebo Comparator | Normal saline will be used as a placebo for lidocaine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lidocaine | Drug | Normal saline will be injected subcutaneously as a placebo for lidocaine in study group of children. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Children's Hospital of Eastern Ontario Pain Scale (CHEOPS | The investigators will measure pain scale of sedated children with the CHEOPS (Children's Hospital of Eastern Ontario Pain Scale) during suturing of lacerated wound. | up to 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Sedation scale | The investigators will measure sedation scale with Ramsey Sedation Scale. | up to 1 hour |
| Complication | The investigators will measure complication with continuous oxygen saturation by pulse oximetry (SpO2) and ECG monitoring and record the monitoring result every 5 minutes. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jin Hee Lee, Professor | Contact | +82-31-787-7575 | gienee@snubh.org |
| Name | Affiliation | Role |
|---|---|---|
| Jin Hee Lee, Professor | Seoul National University Bundang Hospital | Principal Investigator |
| Jin Hee Lee,, Professor | Seoul National University Bundang Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital | Recruiting | Seongnam-si | Gyeonggi-do | 463-707 | South Korea |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D008012 | Lidocaine |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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| Normal saline | Drug |
|
| up to 1 hour |
| Satisfaction of parents and clinicians | The investigators will measure Drs. and care givers' satisfaction rate using numeric rating scale | up to 1 hour |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Aniline Compounds |
| D000588 | Amines |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |