Passive Leg Raise for Pediatric Peripheral IV Placement
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- University of Saskatchewan
- Enrollment
- 234
- Locations
- 1
- Primary Endpoint
- The number of attempts to successful catheterization.
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The investigators hypothesize peripheral intravenous cannulation (insertion of tube into vein) will be facilitated (decreases the number of attempts) by a passive leg raise (raising the legs at the hip to 45 degree in a child laying on their back) in children.
Detailed Description
Establishing peripheral intravenous (PIV) access in the pediatric population is challenging even in the hands of skilled practitioners. A passive leg raise (PLR), raising a patient's legs to a 45 degree angle while supine, auto-transfuses the blood volume within the patient's lower extremities into the central venous compartment. Increasing the blood volume in the central venous compartment may also increase the volume and caliber of upper extremity peripheral veins. It remains to be studied whether a PLR increases peripheral vein diameter and if this would facilitate the placement of PIVs in the pediatric population.
Investigators
Jonathan Gamble
Executive Director of Research for the Department of Anesthesiology, College of Medicine, University of Saskatchewan
University of Saskatchewan
Eligibility Criteria
Inclusion Criteria
- •Children ages 3 months to 17 years.
- •American Society of Anesthesiology (ASA) physical status 1-3 scheduled for elective surgical procedures under general anesthesia.
Exclusion Criteria
- •Children undergoing procedures who already have adequate IV access (ie pre-established central or peripheral access).
- •Those greater than the age of 17, as this is the age limit for care at the Jim Pattison Children's Hospital.
- •Those with any lower limb pathology that limits range of motion.
Outcomes
Primary Outcomes
The number of attempts to successful catheterization.
Time Frame: During the intraoperative procedure.
The study's primary outcome (number of peripheral IV attempts) will be analyzed using a Chi-square test.
Secondary Outcomes
- Provider perception of PLR on vein palpation.(Immediately following successful cannulation in the experimental group.)
- Provider perception of PLR on vein visualization.(Immediately following successful cannulation in the experimental group.)
- Time from skin puncture to the confirmation of a functioning peripheral line.(Measured intraoperatively, an expected estimated average of 2 minutes.)
- The mean change in peripheral vein diameter following passive leg raise, assessed on ultrasonography.(During the intraoperative procedure.)