Status:

UNKNOWN

Intranasal Ketamine Versus Subcutaneous Ketamine for Treatment of Post-traumatic Acute Pain in the Emergency Department ( INVESCK )

Lead Sponsor:

University of Monastir

Conditions:

Acute Pain

Eligibility:

All Genders

18-60 years

Phase:

PHASE2

PHASE3

Brief Summary

Pain is the most common complaint for emergency department (ED) visit. Intranasal ketamine has been shown to provide rapid, well-tolerated, effective analgesia to emergency department (ED) patients wi...

Detailed Description

Materials and methods : Study design It is a randomized, prospective, double blind, controlled, multicentric trial. Study setting and selection of participants : The trial is conducted in three com...

Eligibility Criteria

Inclusion

  • • Patients who presented to the ED with acute limb trauma pain with a visual analgesic scale (VAS) of 5 or more on a standard 11 point (0-10).
  • Pain was considered traumatic if it is reported as appearing immediately after the trauma and no anterior pain was described in the same limb.

Exclusion

  • Pregnancy/Breastfeeding
  • altered mental status (GCS\<15)
  • Allergy to ketamine or morphine
  • Weight less than 40 kg or greater than 100kg
  • Unstable vital signs (systolic blood pressure \<90 or \> 180mmHg, pulse rate\<50 or \>150bpm, and respiration rate \<10 or \>30 breath/min)
  • Medical history of acute head or eye injury
  • Medical history of seizure
  • Medical history of intracranial hypertension,
  • Medical history of chronic pain,
  • Medical history of severe renal or hepatic insufficiency.
  • Medical history of glaucoma
  • Alcohol or drug abuse
  • Psychiatric illness,
  • Recent (4 hours before) analgesic agent use.

Key Trial Info

Start Date :

April 15 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

1000 Patients enrolled

Trial Details

Trial ID

NCT05229055

Start Date

April 15 2023

End Date

December 1 2025

Last Update

May 15 2023

Active Locations (1)

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university of Monastir

Monastir, Tunisia, 5000