Protocol summary

Study aim
Determination and comparison of sedation rate in children after oral administration of Midazolam and Ketamine, comparison of the patient's separation score from parents in two groups receiving oral Ketamine and Midazolam, determining and comparing the duration of patient's stay in the hospital in two groups receiving oral Midazolam and Ketamine Oral, Determine the duration to start the relaxation effect in oral Midazolam and Ketamine.
Design
Randomized clinical trial of Phase 3, double blinded, 100-person samples, with parallel groups of Midazolam and Ketamine
Settings and conduct
This double-blind clinical trial will be conducted at Khatam-ol-Anbia Hospital in Zahedan City. The patient and person who evaluates the symptoms of the patient, will be blinded to treatment group.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Children aged 1 to 7 years who require diagnostic imaging. Exclusion criteria: Associated illnesses such as seizures, heart disease, respiratory disease, respiratory active infections, infectious diseases of the nervous system such as autism and ADHD, imaging duration more than 60 minutes, history of drug allergy to sedative medications, children who have received other sedative medications, taking antibiotics like Erythromycin, which causes metabolism problems, Parental dissatisfaction
Intervention groups
In one group, children received 0.5mg / kg of oral Midazolam and the second group received 5mg / kg of oral Ketamine with 20cc cherry juice given to the patient to improve the taste of the drug. After administering the drug, every 10 minutes (up to 30 minutes), the tranquility level in each group is ranked using the 5-point method and the 3 score is considered as a satisfactory and appropriate sedation level. After administration of the medication, the sedation level in each group will calculated using the same method.
Main outcome variables
Sedation

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20180708040396N1
Registration date: 2018-07-15, 1397/04/24
Registration timing: prospective

Last update: 2018-07-15, 1397/04/24
Update count: 0
Registration date
2018-07-15, 1397/04/24
Registrant information
Name
Mahjobeh Keikha
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 54 3329 5744
Email address
mahjobehkeikha@zaums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2018-07-22, 1397/04/31
Expected recruitment end date
2019-11-21, 1398/08/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of oral Midazolam and oral Ketamin as a sedative in pediatric patients need radiological imaging procedures, refer to emergency department of Zahedan khatam Al-Anbia hospital, years 2018-19: A randomized clinical trial for efficacy
Public title
Comparison of the effect of oral Midazolam and Ketamine as a sedative in children requiring radiologic action
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Children aged 1 to 7 years who require diagnostic imaging.
Exclusion criteria:
Concomitant illnesses such as seizures, heart disease, respiratory diseases and respiratory active infections Infections of the nervous system such as autism, ADHD The imaging time is longer than 60 minutes A history of drug allergy to sedative medicines Children who have received other sedative medications The use of Antibiotics like erythromycin, which causes metabolism problem Parental dissatisfaction
Age
From 1 year old to 7 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Outcome assessor
Sample size
Target sample size: 100
Randomization (investigator's opinion)
Randomized
Randomization description
Children will be divided into two groups. Given the fact that the method of randomization is by blocking method, here the 10-block blocks will randomly be replaced with how patients are placed in blocks. Each block will consist of 5 patients from each group. Due to the gradual entry of patients, a block will be selected first and a card will be selected accordingly, depending on which patient will be in the corresponding group.
Blinding (investigator's opinion)
Double blinded
Blinding description
The patient and the person who evaluates the symptoms of the patient will be blinded to the treatment group. In other words, the participants will be satisfied with the entry into the research, but will be blinded on which treatment group they are going to be. Also, the data collection team that evaluates the outcomes will be blinded to the outcome of the treatment groups.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Zahedan University of Medical Sciences
Street address
Zahedan University of Medical Sciences, Dr Hesabi sq., Daneshgah blvd.
City
Zahedan
Province
Sistan-va-Balouchestan
Postal code
9816743463
Approval date
2018-05-26, 1397/03/05
Ethics committee reference number
IR.ZAUMS.REC.1397.109

Health conditions studied

1

Description of health condition studied
Restlessness
ICD-10 code
R45.1
ICD-10 code description
Restlessness and agitation

Primary outcomes

1

Description
Restlessness
Timepoint
After administering the drug every 10 minutes to 30 minutes, the tranquility level in each group is ranked using the 5-point method and the 3 score is considered as a satisfactory and appropriate sedation level. After administering the drug, the sedation level is grouped in each group using the re-evaluation method.
Method of measurement
With a 5-degree scale from restless to sleep, calmness will be measured.

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Midazolam - In this group, children received 0.5mg / kg 0.5 mg of Midazolam (using Midazolam 5 mg / ml) with twenty cc juice to improve the taste of the drug, is given to the patient by the glass.
Category
Treatment - Drugs

2

Description
Intervention group: Ketamine - In this group, children received 5 mg / kg of oral Ketamine (using doses of 50 mg per 10 ml) with twenty cc juice to improve the taste of the medicine, given to the patient by the glass.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Khatam Al Anbia Hospital
Full name of responsible person
Zabih Allah Hashem Zahi
Street address
Khatam Al Anbia Hospital, Jam-e-jam blvd.
City
Zahedan
Province
Sistan-va-Balouchestan
Postal code
9815733169
Phone
+98 54 3322 0501
Email
zabih1966@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Zahedan University of Medical Sciences
Full name of responsible person
Mohsen Taheri
Street address
Zahedan University of Medical Sciences, Dr Hesabi sq., Daneshgah blvd.
City
Zahedan
Province
Sistan-va-Balouchestan
Postal code
9816743463
Email
taheri@zaums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Zahedan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Zahedan University of Medical Sciences
Full name of responsible person
Mahjobeh Keikha
Position
Resident of Emergency Medicine
Latest degree
Medical doctor
Other areas of specialty/work
Emergency Medicine
Street address
Zahedan University of Medical Sciences, Dr Hesabi sq., Daneshgah blvd.
City
Zahedan
Province
Sistan-va-Balouchestan
Postal code
9816743463
Phone
+98 54 3329 5744
Email
mahjobehkeikha@zaums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Zahedan University of Medical Sciences
Full name of responsible person
Mahjobeh Keikha
Position
Resident of Emergency Medicine
Latest degree
Medical doctor
Other areas of specialty/work
Emergency Medicine
Street address
Zahedan University of Medical Sciences, Dr Hesabi sq., Daneshgah blvd.
City
Zahedan
Province
Sistan-va-Balouchestan
Postal code
9816743463
Phone
+98 54 3329 5744
Email
mahjobehkeikha@zaums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Zahedan University of Medical Sciences
Full name of responsible person
Mahjobeh Keikha
Position
Resident of Emergency Medicine
Latest degree
Medical doctor
Other areas of specialty/work
Emergency Medicine
Street address
Zahedan University of Medical Sciences, Dr Hesabi sq., Daneshgah blvd.
City
Zahedan
Province
Sistan-va-Balouchestan
Postal code
9816743463
Phone
+98 54 3329 5744
Email
mahjobehkeikha@zaums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
Only part of the information, such as the main outcome information, can be shared.
When the data will become available and for how long
Start the access period 6 months after printing the results
To whom data/document is available
Data will only be available to researchers in university and academia
Under which criteria data/document could be used
Only the use of data is allowed to the idea of future research.
From where data/document is obtainable
Referring to the university vice chancellor
What processes are involved for a request to access data/document
Data will be available after approval by the university's research director.
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