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Morphine or Ketamine for Analgesia
Sponsor: Columbia University
Summary
Pain is common in children presenting to the emergency department but is frequently undertreated, leading to both short- and long-term consequences. Morphine is the standard treatment for children with moderate to severe acute pain, but its use is associated with serious side effects and caregiver and clinician concerns related to opioid administration. The investigators aim to determine if sub-dissociative ketamine is non-inferior to morphine for treating acute pain and a preferable alternative for treating acute pain in children because of its more favorable side effect profile and potential long-term benefits related to pain-related function, analgesic use/misuse, and mental and behavioral health outcomes.
Official title: Efficacy of Intravenous Sub-Dissociative Ketamine Versus Intravenous Morphine in Children With Acute Pain
Key Details
Gender
All
Age Range
6 Years - 17 Years
Study Type
INTERVENTIONAL
Enrollment
1010
Start Date
2026-05-01
Completion Date
2029-10-31
Last Updated
2026-01-26
Healthy Volunteers
No
Interventions
Ketamine hydrochloride
Sub-dissociative ketamine, IV
Morphine sulphate
Morphine, IV
Locations (8)
Children's Hospital Los Angeles
Los Angeles, California, United States
UC Davis Children's Hospital
Sacramento, California, United States
Nemours Children's Hospital
Wilmington, Delaware, United States
Arthur M. Blank Hospital
Atlanta, Georgia, United States
NewYork Presbyterian Morgan Stanley Children's Hospital
New York, New York, United States
UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States
Seattle Children's Hospital
Seattle, Washington, United States
Children's Wisconsin
Milwaukee, Wisconsin, United States