Passive Leg Raise for Pediatric Peripheral IV Placement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 234
- 试验地点
- 2
- 主要终点
- The number of attempts to successful catheterization.
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 3 Months 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Children ages 3 months to 17 years.
- •American Society of Anesthesiology (ASA) physical status 1-3 scheduled for elective surgical procedures under general anesthesia.
排除标准
- •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.
结局指标
主要结局
The number of attempts to successful catheterization.
时间窗: During the intraoperative procedure.
The study's primary outcome (number of peripheral IV attempts) will be analyzed using a Chi-square test.
次要结局
- 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.)
研究者
Jonathan Gamble
Executive Director of Research for the Department of Anesthesiology, College of Medicine, University of Saskatchewan
University of Saskatchewan