- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05298137
Passive Leg Raise for Pediatric Peripheral IV Placement
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Establishing peripheral intravenous (PIV) access in the pediatric population is challenging even in the hands of skilled practitioners.
A passive leg raise (PLR), raising a patient's legs to a 45 degree angle while supine, auto-transfuses the blood volume within the patient's lower extremities into the central venous compartment. Increasing the blood volume in the central venous compartment may also increase the volume and caliber of upper extremity peripheral veins. It remains to be studied whether a PLR increases peripheral vein diameter and if this would facilitate the placement of PIVs in the pediatric population.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7N 0W8
- Jim Pattison Children's Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Children ages 3 months to 17 years.
- American Society of Anesthesiology (ASA) physical status 1-3 scheduled for elective surgical procedures under general anesthesia.
Exclusion Criteria:
- Children undergoing procedures who already have adequate IV access (ie pre-established central or peripheral access).
- Those greater than the age of 17, as this is the age limit for care at the Jim Pattison Children's Hospital.
- Those with any lower limb pathology that limits range of motion.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
NO_INTERVENTION: IV Cannulation Without Passive Leg Raise
Patients will be randomized to either the passive leg raise (PLR) group or standard care (control group). In both groups baseline measurements of a peripheral vein diameter using ultrasound will be undertaken at the level of the left antecubital fossa with and without a proximally placed venous tourniquet. Those in the control group will then have a peripheral IV (PIV) placed in the ipsilateral arm as the baseline measurements, the number of attempts to successful PIV placement will be recorded. A repeat diameter assessment of the previously assessed vein, number of PIV attempts, and time to successful IV cannulation (measured as the time from skin puncture to successful IV cannulation) will be recorded. |
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EXPERIMENTAL: IV Cannulation With Passive Leg Raise
Patients will be randomized to either the passive leg raise (PLR) group or standard care (control group). In both groups baseline measurements of a peripheral vein diameter using ultrasound will be undertaken at the level of the left antecubital fossa with and without a proximally placed venous tourniquet. Those in the passive leg raise (PLR) group will have their legs elevated to 45 degrees until successful peripheral IV (PIV) placement. A repeat diameter assessment of the previously assessed vein, number of PIV attempts, and time to successful IV cannulation (measured as the time from skin puncture to successful IV cannulation) will be recorded. |
A passive leg raise (PLR) is defined as raising a patient's legs to a 45-degree angle at the hip while supine.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The number of attempts to successful catheterization.
Time Frame: During the intraoperative procedure.
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The study's primary outcome (number of peripheral IV attempts) will be analyzed using a Chi-square test.
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During the intraoperative procedure.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The mean change in peripheral vein diameter following passive leg raise, assessed on ultrasonography.
Time Frame: During the intraoperative procedure.
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The change, if any, in peripheral vein diameter will be measured by comparing the diameter assessed by ultrasound at baseline and following leg raise.
Results will be compared using the student's t test.
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During the intraoperative procedure.
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Time from skin puncture to the confirmation of a functioning peripheral line.
Time Frame: Measured intraoperatively, an expected estimated average of 2 minutes.
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Time to vein cannulation will be compared using the student's t test.
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Measured intraoperatively, an expected estimated average of 2 minutes.
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Provider perception of PLR on vein visualization.
Time Frame: Immediately following successful cannulation in the experimental group.
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Chi-square testing will be used to evaluate provider perception of passive leg raise on vein visualization and palpation.
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Immediately following successful cannulation in the experimental group.
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Provider perception of PLR on vein palpation.
Time Frame: Immediately following successful cannulation in the experimental group.
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Chi-square testing will be used to evaluate provider perception of passive leg raise on vein visualization and palpation.
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Immediately following successful cannulation in the experimental group.
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Jonathan J Gamble, MD, Department of Anesthesiology, University of Saskatchewan
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- Bio #3221
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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