Immobilization During Peripheral Venous Catheter Placement

Hospital Universitario La Paz322 enrolled

Overview

Aim: To determine the most effective type of upper limb immobilization in the cannulation of a peripheral venous line in the pediatric emergency department. Methods: Randomized clinical trial with 322 patients conducted in a tertiary pediatric emergency. The impact of two types of restraints (immobilization of the elbow joint versus arm restraint, without immobilization of the elbow joint) on the success of the technique was analyzed. Multivariate analysis was used to analyze the impact of other variables (weight, age, movements, pain) on the success of the technique.

A study will be conducted in a Spanish tertiary hospital to assess the holding technique for peripheral venous catheterization in pediatric patients presenting to the pediatric emergency department. The nursing staff will be responsible for implementing the study protocol, data collection, and subsequent analysis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

322

Conditions

Pediatrics Immobilization

Interventions

Elbow joint immobilizationPROCEDURE

Immobilization of the elbow joint during peripheral venous line cannulation in pediatric patients on the success of the technique

Arm restraint without elbow immobilizationPROCEDURE

Use of arm restraint without immobilization of the elbow joint during peripheral venous line cannulation in pediatric patients.

Eligibility

Sex: ALLMin age: 1 DayMax age: 6 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Pediatric patients at emergency department that need a peripheral venous line Exclusion Criteria: * Critically ill patient

Locations (1)

Hospital Universitario La Paz

Madrid, Madrid, Spain

Outcomes

Primary Outcomes

success of peripheral venous line cannulation on the first attempt

Percentage of successful cannulations on the first attempt, as assessed by the registered nurse.

Time frame: From enrollment to the end of the procedure (15 minutes)

Secondary Outcomes

Number of attempts required

Number of cannulation attempts until successful catheterization.

Time frame: From enrollment to the end of the procedure (15 minutes)

Time to successful catheterization

Time in minutes from first attempt to successful catheter placement

Time frame: From start of procedure until catheter placement (≤15 minutes)

Nurse's assessment of patient's pain

Pain assessed by the nurse using a validated age-appropriate pediatric pain scale

Time frame: Immediately after procedure

Data from ClinicalTrials.gov

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