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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| elbow joint immobilization | Experimental | Pediatric patients undergo cannulation of a peripheral venous line with immobilization of the elbow joint |
|
| arm restraint without immobilization of the elbow joint | Active Comparator | Pediatric patients undergo cannulation of a peripheral venous line with arm restraint, but the elbow joint is not immobilized. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Elbow joint immobilization | Procedure | Immobilization of the elbow joint during peripheral venous line cannulation in pediatric patients on the success of the technique |
|
| Measure | Description | Time Frame |
|---|---|---|
| success of peripheral venous line cannulation on the first attempt | Percentage of successful cannulations on the first attempt, as assessed by the registered nurse. | From enrollment to the end of the procedure (15 minutes) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of attempts required | Number of cannulation attempts until successful catheterization. | From enrollment to the end of the procedure (15 minutes) |
| Time to successful catheterization | Time in minutes from first attempt to successful catheter placement |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario La Paz | Madrid | Madrid | 28022 | Spain |
Individual participant data (IPD) will not be shared because the study involves a small sample of pediatric patients in a single hospital. Sharing the data could compromise confidentiality despite de-identification, and the main outcomes will be disseminated through peer-reviewed publications and conference presentations.
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| Arm restraint without elbow immobilization | Procedure | Use of arm restraint without immobilization of the elbow joint during peripheral venous line cannulation in pediatric patients. |
|
| From start of procedure until catheter placement (≤15 minutes) |
| Nurse's assessment of patient's pain | Pain assessed by the nurse using a validated age-appropriate pediatric pain scale | Immediately after procedure |