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Effect of posture change and/or hand gripping on venous cannulation induced vasovagal response

Effect of physical counter pressure maneuvers on the incidence of Vasovagal Response to Venous Cannulation in patients requiring Cardiac CT with contrast

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12624000001594
Enrollment
1228
Registered
2024-01-08
Start date
2024-01-22
Completion date
2025-01-17
Last updated
2024-01-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

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 un

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

Rebecca Woodley
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Primary purpose
Prevention

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

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).

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026