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Jet-Injected Ketamine for Sedation

RN
Overseen ByResearch Nurses
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new method of administering the sedating medication ketamine using a jet-injection system, which delivers medication without needles. The aim is to determine if this method causes less pain and stress compared to other administration methods. It targets children undergoing simple procedures like blood draws or IV insertions. Children referred to the sedation clinic, weighing less than 40 kg and undergoing minimally invasive procedures, may be suitable candidates for this trial. As a Phase 1 trial, the research focuses on understanding how this new treatment works in people, offering participants the opportunity to be among the first to receive it.

Do I have to stop taking my current medications for the trial?

Yes, you may need to stop taking certain medications. If you are taking medications for sedation or those that affect how ketamine works, you might need to stop them before participating in the trial.

What prior data suggests that this jet-injection system is safe for sedation?

Research has shown that using a jet-injection system to administer ketamine is well-tolerated in children for anesthesia. This method causes little discomfort and poses fewer risks compared to traditional needle methods. Studies with both children and adults reported low pain levels, with no one rating pain higher than 1 on a scale from 0 to 10. This indicates that the jet-injection method is generally safe and does not cause significant pain. However, ketamine itself can have side effects, particularly depending on the dose, which may affect the brain, heart, and other areas. Discussing these effects with the trial team is important for those considering participation.12345

Why are researchers excited about this trial?

Researchers are excited about the jet-injected ketamine treatment because it offers a new, needle-free way to deliver sedation. Unlike traditional methods that use needles or oral medications, this system uses a high-pressure jet to administer ketamine quickly and painlessly through the skin. This could make the sedation process less stressful and more comfortable for patients, especially those who are needle-phobic. Additionally, the rapid delivery method might allow for faster onset of sedation, which can be crucial in emergency or urgent care settings.

What evidence suggests that this jet-injection system is effective for sedation?

Research has shown that using a jet injector to administer ketamine effectively calms patients, especially children. Studies have found that sedation begins more quickly with a jet injector than with other methods. Additionally, jet injector use for ketamine often results in less pain, with most individuals experiencing only mild discomfort. One study demonstrated that using a jet injector reduced the need to physically restrain patients during procedures, creating a smoother experience. This trial will evaluate the effectiveness of jet-injected ketamine, potentially offering a quicker and less painful method to calm patients.12367

Who Is on the Research Team?

MP

Megan Peters, MD

Principal Investigator

University of Wisconsin, Madison

Are You a Good Fit for This Trial?

The Dreamy Jet Study is for children aged 2-15, weighing less than 40kg, who are visiting UW Health American Family Children's Hospital Pediatric Sedation Clinic for simple procedures like blood draws. It excludes those with high brain pressure, potential pregnancy, language barriers without a translator, uncontrolled high blood pressure, recent sedative use or certain medication interactions.

Inclusion Criteria

I am between 2 and 15 years old.
I weigh less than 40kg.
I am referred to a specific clinic for simple procedures like blood tests or shots.

Exclusion Criteria

I have high pressure inside my skull.
Participants who are pregnant or possibly pregnant (i.e., people of child bearing potential unable to provide a negative pregnancy test)
My parent or guardian needs a translator for medical discussions.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive a single dose of jet-injected ketamine for sedation before their procedure

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after the procedure

Up to 3 hours

What Are the Treatments Tested in This Trial?

Interventions

  • Jet-injection system
Trial Overview This study tests if a jet-injection system can deliver Ketamine—a sedative—more comfortably before minor procedures. Participants will receive the sedative in their arm or thigh to assess pain and stress levels compared to traditional methods.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: J-tip jet injectionExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Wisconsin, Madison

Lead Sponsor

Trials
1,249
Recruited
3,255,000+

Published Research Related to This Trial

Jet-injection of ketamine (K) for anesthetic induction in 30 children aged 1-6 years was found to be effective and pain-free, eliminating the need for physical restraint during the procedure.
The study indicated that a lower dose of 3.5 mg/kg of ketamine is sufficient for routine use, as the higher dose of 6.0 mg/kg increased the risk of laryngospasm without providing additional benefits.
A new route, jet-injection for anesthetic induction in children - II. ketamine dose-range finding studies.Zsigmond, EK., Kovacs, V., Fekete, G.[2013]
Intravenous ketamine dosing for procedural sedation in children varies by age, with recommended single bolus doses of 1.5 to 2.125 mg/kg, but larger doses can lead to deeper sedation and slower recovery times.
Using a smaller initial dose followed by a 'top-up' or continuous infusion can achieve the desired sedation level more effectively, with quicker recovery times, highlighting the importance of tailoring doses based on individual patient needs and the type of pain management required.
Dosing ketamine for pediatric procedural sedation in the emergency department.Dallimore, D., Herd, DW., Short, T., et al.[2022]
Ketamine is considered very safe, making it a preferred choice for sedation in children and in veterinary medicine, with low rates of serious complications from intentional overdose.
Most risks associated with ketamine use arise from accidents during its recreational use, particularly due to the potential for vomiting and aspiration in deeply sedated individuals.
Ketamine as a street drug.Stewart, CE.[2019]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/8929752/
A new route, jet-injection for anesthetic induction in childrenThe onset of sedation was significantly (p < 0.05) faster in group A (174 sec) than in group B (312 sec) or C (303 sec). However, no significant difference was ...
Jet-Injected Ketamine for Sedation · Info for ParticipantsResearch shows that jet-injected ketamine has been used effectively for anesthetic induction in children, reducing the need for physical restraint and ...
Findings of Study of Needle-Free Jet-Injection System with...With jet injection of midazolam, ketamine, and lidocaine, none of the children or adults experienced pain greater than 1 on a visual analog scale.
The Anesthetic Effectiveness of J-Tip Needle-Free Injection ...A recently published study using the JNFS for TF injections found a statistically significant decrease in pain; however, this study was not blinded and did not ...
J-Tip® Jet Injection of 1% Buffered Lidocaine or Saline ...The comparison of J-Tip® jet injection of 1% buffered lidocaine to J-Tip® jet injection of sterile saline is double blinded, while the comparison of jet ...
Ketamine Toxicity - StatPearls - NCBI BookshelfKetamine toxicity can cause a variety of neurological, cardiovascular, psychiatric, urogenital, and abdominal symptoms, which are dose-dependent.
Jet injector compared with oral midazolam for preoperative ...The results of this study show that intramuscular injection of midazolam using the Bioject jet injector produced a faster onset of sedation compared with oral ...
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