Immobilization, Pediatrics
Conditions
Keywords
pediatrics, emergency medical services, immobilization, catheter, nurses, pediatric
Brief summary
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.
Detailed description
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.
Interventions
PROCEDUREElbow joint immobilization
Immobilization of the elbow joint during peripheral venous line cannulation in pediatric patients on the success of the technique
PROCEDUREArm restraint without elbow immobilization
Use of arm restraint without immobilization of the elbow joint during peripheral venous line cannulation in pediatric patients.
Sponsors
Hospital Universitario La Paz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Days to 6 Years
Healthy volunteers
Yes
Inclusion criteria
* Pediatric patients at emergency department that need a peripheral venous line
Exclusion criteria
* Critically ill patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| success of peripheral venous line cannulation on the first attempt | From enrollment to the end of the procedure (15 minutes) | Percentage of successful cannulations on the first attempt, as assessed by the registered nurse. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of attempts required | From enrollment to the end of the procedure (15 minutes) | Number of cannulation attempts until successful catheterization. |
| Time to successful catheterization | From start of procedure until catheter placement (≤15 minutes) | Time in minutes from first attempt to successful catheter placement |
| Nurse's assessment of patient's pain | Immediately after procedure | Pain assessed by the nurse using validated, age-appropriate pediatric pain scales: * CRIES scale: Minimum score = 0, Maximum score = 10. * FLACC scale: Minimum score = 0, Maximum score = 10. * Groningen scale: Minimum score = 0, Maximum score = 5. For all scales, higher scores indicate worse pain outcomes. |
Countries
Spain
Outcome results
None listed