Difficulties establishing intravenous access Surgery Procedural difficulties
Conditions
Interventions
Evaluation of nitrous oxide treatment and midazolam given to children with procedural problems, comparing three different methods of treatment:
1. Midazolam 0.3 mg/kg maximum 15 mg per os oxygen for i
Sponsors
Frimurare Barnhuset Foundation (Stiftelsen Frimurare Barnhuset i Stockholm) (Sweden)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Children (aged 5 - 18 years, either gender) with well known difficulties to establish intravenous access.
Exclusion criteria
Exclusion criteria: 1. No ability to collaborate 2. Mental disturbance 3. Not fluent in Swedish
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Number of attempts that were required for double venous cannulation (number), 15 minutes after procedure 2. Child evaluation (Global Rating Scale GRS 1 - 5, where 1 = poor and 5 = excellent) recovery time (minutes), measured by finger tapping test 40 minutes before procedure and 15 minutes after procedure and if necessary every 15 minutes until the child had the same number of finger taps as before the procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain (Numeric Rating Scale [NRS] 0 - 10, where 0 = no pain and 10 = worst pain), evaluation by parent 15 minutes after procedure 2. Observer's Assessment of Alertness Sedation (OAA/S) scale 0 - 1, where 0 = deep asleep and 5 = alert), measured 30 minutes after procedure 3. Blood pressure, measured 40 minutes before the procedure, every 5 minutes during procedure, and 15 minutes after procedure and if necessary every 15 minutes after this 4. Heart rate, measured 40 minutes before the procedure, every 5 minutes during procedure, and 15 minutes after procedure and if necessary every 15 minutes after this 5. Saturation, measured 40 minutes before the procedure, every 5 minutes during procedure, and 15 minutes after procedure and if necessary every 15 minutes after this 6. Side effects, measured 40 minutes before the procedure, every 5 minutes during procedure, and 15 minutes after procedure and if necessary every 15 minutes after this | — |
Countries
Sweden
Outcome results
None listed