Rapid Pediatric Fluid Resuscitation: a Randomized Controlled Trial Comparing the Efficiency of Two Provider-Endorsed Manual Fluid Resuscitation Techniques
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Resuscitation
- Sponsor
- McMaster Children's Hospital
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- Overall fluid infusion rate
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
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.
Investigators
Melissa J Parker, MD, MSc
Assistant Professor of Pediatrics
McMaster Children's Hospital
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
Overall fluid infusion rate
Time Frame: 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.
Secondary Outcomes
- 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))