Intravenous Cannulation In Children During Sevoflurane Induction
17 augusti 2017 uppdaterad av: Leila mansali stambouli
Intravenous Cannulation In Children During Sevoflurane Induction: Which Time is Adequate
This interventional simple-blind,randomized trial has included 90 children of American Society of Anesthesiologist (ASA) physical status I or II aged between 1 to 12 years of either sex, scheduled for for outpatient minor surgery under general anesthesia.
This study examined whether one should make iv attempts during the early induction period (at 60 seconds) or lately (90 or 120 s) and waiting until the child receives additional sevoflurane inhalation anesthesia.
Studieöversikt
Status
Avslutad
Betingelser
Detaljerad beskrivning
We conducted a prospective randomized study, after obtaining Institutional review board approval, which didn't require written parental consent.
Children age 1-12 years, undergoing elective general anesthesia via an inhalation induction were randomized to one of three groups of 30 patients each one, for iv placement, either 60s (group E), 90 or 120 s (group L) following loss of lid reflex.
Movement on iv placement and incidence of laryngospasm were determined.
Difficulty with iv placement was also recorded.
Statistical analysis included contingency testing, ANOVA, and non parametric testing.
A P-value <0.05 was considered significant.
Studietyp
Interventionell
Inskrivning (Faktisk)
90
Fas
- Inte tillämpbar
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
1 år till 12 år (Barn)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
- children with American Society of Anesthesiologist (ASA) physical status I or II
- age between 1 and 12 years of either sex,
- were scheduled for outpatient minor surgery under general anesthesia
Exclusion Criteria:
- age <1 and >12 years
- patients with full stomach
- a history of gastric reflux
- history of convulsions, cardiovascular or neuromuscular disease
- suspected difficult airway and hyper-reactive airway disease
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Övrig
- Tilldelning: Randomiserad
- Interventionsmodell: Crossover tilldelning
- Maskning: Trippel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Övrig: 60s (group E)
The Time of catheterization at 60s (group E) was applied in this study group,after sevoflurane inhalation induction, 30 children have a catheterization after a time of 60 seconds following the eye closure and the loss of lid reflex.Difficulty with intravenous catheterization, limb movement and laryngospasm were recorded.Difficulty of catheterization in group 60 s
|
|
|
Övrig: 90s (groupe L)
In this study group,after sevoflurane inhalation induction, 30 children have a catheterization after a time of 90 seconds following the eye closure and the loss of lid reflex.Difficulty with intravenous catheterization, limb movement and laryngospasm were recorded.Difficulty of catheterization in group 90 s
|
|
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Övrig: 120s (groupe L)
In this study group,after sevoflurane inhalation induction, 30 children have a catheterization after a time of 120 seconds following the eye closure and the loss of lid reflex.Difficulty with intravenous catheterization, limb movement and laryngospasm were recorded.Difficulty of catheterization in group 120 s
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Success of intravenous insertion
Tidsram: from the end of study period of time after the loss of eyelash reflex to successful cannulation less than 30 seconds
|
success insertion of intravenous cannula was achieved at the first attempt less than 30 seconds
|
from the end of study period of time after the loss of eyelash reflex to successful cannulation less than 30 seconds
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
limb movement
Tidsram: from the end of study period of time after the loss of eyelash reflex to successful cannulation less than 30 seconds
|
The movement was classified using the scale: (0 No movement, 1 movement) The incidence of laryngospasm was defined as the sudden complete or partial loss of air exchange with concurrent loss of a capnographic wave. The movement was classified using the scale: (0 No movement, 1 movement) The incidence of laryngospasm was defined as the sudden complete or partial loss of air exchange with concurrent loss of a capnographic wave. • The movement was classified using the scale: (0 No movement, 1 movement) • The movement was classified using the scale: (0 No movement, 1 movement) The limb movement was classified using the scale:0 No movement, 1 movement) |
from the end of study period of time after the loss of eyelash reflex to successful cannulation less than 30 seconds
|
Andra resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
laryngospasm
Tidsram: from the end of study period of time after the loss of eyelash reflex to successful cannulation less than 30 seconds
|
laryngospasm was defined as the sudden complete or partial loss of air exchange with concurrent loss of a capnographic wave.
|
from the end of study period of time after the loss of eyelash reflex to successful cannulation less than 30 seconds
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: leila Mansali Stambouli, MD PhD, University Hospital of Fattouma Bourguiba Monastir TUNISIA
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- Schwartz D, Connelly NR, Gutta S, Freeman K, Gibson C. Early intravenous cannulation in children during sevoflurane induction. Paediatr Anaesth. 2004 Oct;14(10):820-4. doi: 10.1111/j.1460-9592.2004.01315.x.
- Choudhry DK, Stayer SA, Schwartz RE, Pasquariello CA. Early intravenous cannulation in children during inhalational induction of anaesthesia. Paediatr Anaesth. 1998;8(2):123-6. doi: 10.1046/j.1460-9592.1998.00731.x.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
1 augusti 2016
Primärt slutförande (Faktisk)
31 oktober 2016
Avslutad studie (Faktisk)
31 oktober 2016
Studieregistreringsdatum
Först inskickad
11 augusti 2017
Först inskickad som uppfyllde QC-kriterierna
17 augusti 2017
Första postat (Faktisk)
18 augusti 2017
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
18 augusti 2017
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
17 augusti 2017
Senast verifierad
1 augusti 2017
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- OMB: 0925-0586
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
NEJ
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Nej
Studerar en amerikansk FDA-reglerad produktprodukt
Nej
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