Rapid Pediatric Fluid Resuscitation: a Randomized Controlled Trial Comparing the Efficiency of Two Provider-Endorsed Manual Fluid Resuscitation Techniques
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 2
- 主要终点
- Overall fluid infusion rate
研究概览
简要总结
The purpose of this study is to determine which of two commonly used methods of manual pediatric fluid resuscitation (The "Push-Pull Technique" vs. the "Disconnect-Reconnect Technique") allows for the most rapid administration of normal saline when this is urgently required.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Health Care Providers working or training at McMaster Children's Hospital, including staff nurses, staff physicians, postgraduate medical trainees, nursing students, and medical students
- •may be asked to perform manual fluid resuscitation as part of their clinical care activities
排除标准
- •Inability to understand English
- •Limited manual dexterity, specifically resulting in an inability to perform manual fluid resuscitation involving syringes
- •Have acted in a physically strenuous capacity that may result in significant hand fatigue in the 30 minutes immediately prior to performance of the intervention. Where this is the only criteria limiting subject participation, rescheduling of an alternate testing time will be permitted.
结局指标
主要结局
Overall fluid infusion rate
时间窗: From Date of Subject Randomization until Date Intervention Completed (Day 1)
Start Intervention Time is defined as the time that the model begins to effectively receive normal saline as administered by the participant, determined by the time at which fluid begins to collect in the graduated cylinder. End Intervention Time is defined as the time at which the model ceases to effectively receive further normal saline as determined by the time at which fluid stops collecting in the graduated cylinder. All testing will be videorecorded, with video reviews conducted by two independent and blinded outcome assessors using strict criteria to determine total intervention time (Total intervention time = end intervention time - start intervention time). At the time of subject testing, the research assistant will also record the total amount of normal saline collected in the graduated cylinder at the end of the intervention. Total intervention rate (mL/s) = volume of normal saline collected/Total intervention time.
次要结局
- Catheter dislodgement event while performing the intervention(From Date of Subject Randomization until Date Intervention Completed (Day 1))
- Accuracy of fluid volume delivery(From Date of Subject Randomization until Date Intervention Completed (Day 1))
- Fluid infusion rates for each of the three sequential fluid boluses(From Date of Subject Randomization until Date Intervention Completed (Day 1))
- Self-reported fatigue(From Date of Subject Randomization until Date Intervention Completed (Day 1))
研究者
Melissa J Parker, MD, MSc
Assistant Professor of Pediatrics
McMaster Children's Hospital