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Intranasal Dexmedetomidine vs. Oral Chloral Hydrate for Pediatric Orthopedic Procedural Sedation
Sponsor: Seoul National University Childrens Hospital
Summary
This prospective randomized controlled study will compare the effectiveness and safety of intranasal dexmedetomidine with oral chloral hydrate for procedural sedation in children undergoing painful orthopedic manipulation. Forty-four children 7 to 12 years of age will be assigned in a 1:1 ratio to receive either intranasal dexmedetomidine 3 micrograms/kg plus oral saline or oral chloral hydrate 50 mg/kg plus intranasal saline. Both the participants and the clinicians performing the procedure will be blinded to treatment assignment. The primary outcome is successful sedation throughout the procedure, defined as a Pediatric Sedation State Scale (PSSS) score maintained between 1 and 4. Secondary outcomes include time to sedation, recovery time, sedation without movement, need for rescue sedation, vital-sign safety events, other adverse events, and participant, parent, and clinician satisfaction.
Official title: Procedural Sedation With Intranasal Dexmedetomidine Versus Oral Chloral Hydrate for Painful Orthopedic Manipulation: A Prospective Randomized Controlled Study
Key Details
Gender
All
Age Range
7 Years - 12 Years
Study Type
INTERVENTIONAL
Enrollment
44
Start Date
2026-09-01
Completion Date
2028-12-31
Last Updated
2026-08-17
Healthy Volunteers
No
Conditions
Interventions
Dexmedetomidine
Dexmedetomidine 3 micrograms/kg administered intranasally through a mucosal atomizer device 30 minutes before the planned procedure. The dose is divided between both nostrils.
Chloral Hydrate
Chloral hydrate 50 mg/kg administered orally 30 minutes before the planned procedure.
Intranasal Saline Placebo
An equal volume of normal saline administered intranasally 30 minutes before the planned procedure to maintain the double-dummy masking.
Oral Saline Placebo
An equal volume of normal saline administered orally 30 minutes before the planned procedure to maintain the double-dummy masking.
Locations (1)
Seoul National University Hospital
Seoul, Seoul, South Korea