A prospective, analyst-blinded, randomized control trial to assess the incidence of intravenous (IV) fluid over-administration in the setting of pediatric dental surgeries. Anesthetists will be randomized to either administer their IV fluid through an infusion pump or a gravity drip device.
In the perioperative setting, IV fluids are administered to mitigate the effects of preoperative fasting and sources of fluid loss that are unique to surgical intervention. Significant harms have been associated with the over-administration of IV fluid in pediatric patients. Infusion pumps have been shown to reduce medication administration errors in inpatients receiving continuous IV infusions. In contrast, laboratory experiments have demonstrated that gravity driven fluid delivery systems are influenced by numerous extrinsic factors. To date, no work has investigated the perioperative incidence of IV fluid over-administration in pediatric patients randomized either to infusion pumps (intervention) or gravity-fed IV systems (control).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
103
The Hospira plum pump enables the clinician to program a specific volume of intravenous fluid and define a period of time over which to administer this fluid.
Study subjects assigned to this group will receive intravenous fluid via a gravity drip device during their surgery.
University of Saskatchewan
Saskatoon, Saskatchewan, Canada
Average absolute difference between volume prescribed and infused
Difference in volume originally prescribed and ultimately administered
Time frame: From initiation of intravenous until arrival in the recovery room, up to three hours
Volume of intravenous fluid administered
Volume of fluid received over surgical course (mL/kg/hr)
Time frame: From initiation of intravenous until arrival in the recovery room, up to three hours
Average percent difference between volume prescribed and infused
Percent difference in volume originally prescribed and ultimately administered
Time frame: From initiation of intravenous until arrival in the recovery room, up to three hours
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