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A Comparison Study of Two Different Methods of Administration: Intranasal versus Intramuscular for Pediatric Procedural Sedation and Analgesia

DC Field Value Language
dc.contributor.author안, 경찬-
dc.contributor.author안, 정환-
dc.contributor.author이, 국종-
dc.contributor.author정, 윤석-
dc.contributor.author최, 상천-
dc.contributor.author조, 영신-
dc.contributor.author이, 지숙-
dc.contributor.author이, 정아-
dc.contributor.author김, 기운-
dc.date.accessioned2014-01-27T04:07:44Z-
dc.date.available2014-01-27T04:07:44Z-
dc.date.issued2009-
dc.identifier.issn1226-4334-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/9098-
dc.description.abstractPurpose: To compare the efficacy of ketamine between intranasal (IN) administration and intramuscular (IM) injection for pediatric procedural sedation and analgesia (PPSA).



Methods: A prospective study was conducted during 3 months. Ketamine was given by IN or IM route before primary repair of facial laceration for procedural sedation. The administration dose was 8 mg/kg for IN and 4 mg/kg for IM. We evaluated resistance scale on administration, sedation scale, satisfaction of physician and parents.



Results: One hundred children were enrolled into this study. IN administration was given to 50 children, and IM injection to 50 children each. In the IN group, 75%(36 of 50) showed severe resistance, whereas only 34%(17 of 50) showed severe resistance and 50%(25 of 50) showed mild resistance in IM group. Successful rate of sedation after initial administration was 82%(41 of 50) in IM group and 34% in IN group. Satisfaction of physicians and parents was high in IM injection group.



Conclusion: Intranasal administration of Ketamine is less effective and provides lower satisfaction than intramuscular injection for procedural sedation of pediatric patients in the emergency department.
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dc.language.isoko-
dc.titleA Comparison Study of Two Different Methods of Administration: Intranasal versus Intramuscular for Pediatric Procedural Sedation and Analgesia-
dc.title.alternative소아의 통증성 술기에 있어 Ketamine 비강내 투여와 근육 주사의 진정 정도 비교 연구-
dc.typeArticle-
dc.subject.keywordIntranasal Administration-
dc.subject.keywordIntramuscular Injection-
dc.subject.keywordKetamine-
dc.subject.keywordConscious Sedation-
dc.contributor.affiliatedAuthor안, 정환-
dc.contributor.affiliatedAuthor이, 국종-
dc.contributor.affiliatedAuthor정, 윤석-
dc.contributor.affiliatedAuthor최, 상천-
dc.contributor.affiliatedAuthor이, 지숙-
dc.contributor.affiliatedAuthor이, 정아-
dc.contributor.affiliatedAuthor김, 기운-
dc.type.localJournal Papers-
dc.citation.titleTaehan Ŭnggup Ŭihakhoe chi-
dc.citation.titleJournal of the Korean Society of Emergency Medicine-
dc.citation.title대한응급의학회지-
dc.citation.volume20-
dc.citation.number4-
dc.citation.date2009-
dc.citation.startPage422-
dc.citation.endPage427-
dc.identifier.bibliographicCitationTaehan Ŭnggup Ŭihakhoe chi, 20(4):422-427, 2009-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Journal Papers > School of Medicine / Graduate School of Medicine > Emergency Medicine
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