Migraine Clinical Trial
Official title:
Is Paraspinal Intramuscular Ropivacaine Injection an Effective Treatment for Headache in a Pediatric Emergency Department?
Objective: To determine if lower paracervical intramuscular ropivacaine injection is an effective treatment for pediatric headache in an emergency department setting.
Methods: The study will be a double-blind randomized control trial. Patients will be randomly
assigned to receive either intramuscular injection of the lower cervical paraspinous muscles
with 1 mL of 0.5% ropivacaine on each side, placebo injections with 1 mL normal saline on
each side, or no intervention at all. If randomized to an injection, the investigator and the
patient will both be blinded as to the nature of the injection.
The location of the child's pain as well as severity will be assessed immediately prior to
intervention and every 10 minutes for 30 minutes. If after 30 minutes relief is insufficient
for discharge to home, intravenous treatment will be instituted according to current
protocol. Pain will be reassessed at the time of ultimate disposition. The scale used to
assess severity will vary based on the child's age.
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