None listed
Conditions
Brief summary
This study is a randomized controlled trial, testing preventative/treatment strategies for managing vasovagal responses induced by intravenous cannulation in patients requiring cardiac CT with contrast. The strategies involve the employment of counter pressure maneuvers (hand gripping and/or adopting a lying down position) during intravenous cannulation. The researcher hypothesizes that the employment of counter pressure maneuvers (hand gripping and/or adopting a lying down position) will decrease the incidence of vasovagal response induced by intravenous cannulation.
Interventions
Interventions will include posture change (supine position) and hand gripping (squeezing stress ball in the opposing arm to the venous cannulation). There will be three interventional groups: 1, Patient will assume supine position during PIVC (peripheral intravenous cannulation), patient will remain flat until either the patient requests to sit upright or is transferred to the CT scanner. 2, Patient will be in sitting position and squeeze a stress ball in opposing arm to the insertion of PIVC until the PIVC is secured. 3. Patient will assume supine position during the PIVC insertion, the patient will remain flat until either the patient requests to sit upright or is transferred to the CT scanner. Meanwhile Patient will be instructed to squeeze a stress ball in opposing arm to the insertion of PIVC until the PIVC is secured. The interventions will continue until successful insertion of the PIVC. The primary nurse will be administering the relevant intervention under direct supervision of the research staff. Training will be provided to ensure all nursing staff in the Imaging department perform their tasks uniformly. Research staff will be always available onsite to provide supervision and monitor adherence to the interventions.
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion Criteria: • Patients requiring Cardiac CT with contrast; • Patients 18 years old and over. • Patients able to give informed consent
Exclusion criteria
Exclusion Criteria: • Patients with contrast allergy. • Patients not able to give informed consent. • Patients with reduced upper extremity function and grip strength. • Patients not tolerant of supine position. • Peripheral neuropathy / neurological deficit. • Hemodynamically unstable patients (Systolic BP [SBP]<100mmHg, HR<45BPM).