IRCT2016050615941N4 IRCT 2017-09-11 Shahrad Tajaddini (investigator) Fentofol vs. Ketofol for painful procedures in the emergency department Comparison of Fentofol with Ketofol to achieve the Aldret score of 12 in painful procedures in the emergency department 2017-10-01 anticipated 192 Complete https://irct.ir/trial/15052 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. 2-3 Painful procedures in the emergency department. Intervention 1: Arm 1: Intervention name: Fentofol (Fentanyl+ Propofol) Intervention description: Fentanyl (1 microgram/Kg by slow intravenous injection) and Propofol ( 1 milligram/Kg by slow intravenous injection) are administered in separate 5 ml syringes with a number assigned to the drugs. The patients and the investigator are blinded to the drugs in the syringe. if needed, the same doses are repeated to achieve appropriate sedation and analgesia and the total dose will subsequently be calculated. After the end of the procedure, the Aldret score will be calculated each minute until the patient reaches a score of 12, at which point the time measurement ends. Intervention 2: Arm 2: Intervention name: Ketofol (Ketamine+ Propofol) Intervention description: Ketamine (1milligram/Kg by slow intravenous injection) and Propofol ( 1 milligram/Kg by slow intravenous injection) are administered in separate 5 ml syringes with a number assigned to the drugs. The patients and the investigator are blinded to the drugs in the syringe. if needed, the same doses are repeated to achieve appropriate sedation and analgesia and the total dose will subsequently be calculated. After the end of the procedure, the Aldret score will be calculated each minute until the patient reaches a score of 12, at which point the time measurement ends.