A pilot randomized feasibility clinical trial of intranasal vs. intravenous naloxone in pediatric opioid poisoning.
Narges Gholami, Arne Kristian Skulberg, Fariba Farnaghi et al.
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In 30 seconds
This pilot randomized feasibility trial assessed intranasal (IN) versus intravenous (IV) naloxone in children aged 1-12 years with opioid poisoning. Conducted at a Tehran hospital, the study found that the median time to response was significantly shorter for IN naloxone at 24 seconds compared to 65 seconds for IV naloxone. All participants responded to naloxone treatment.
Key findings
- Median time to response was 24s for IN naloxone versus 65s for IV naloxone.
- Thirty-nine children were randomized, with all responding to naloxone.
- Over 90% satisfaction reported by parents and healthcare providers.
- All participants adhered to the study protocol.
Why it matters
The findings suggest that intranasal naloxone may provide a quicker response in pediatric opioid poisoning, which is critical in emergency situations. Understanding the feasibility of this route can inform future treatment protocols.