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IRCT20191218045773N1 IRCT 2020-01-22 Esfarayen University of Medical Sciences Effect of local warming and vein viewer on success rate for inserting of peripheral venous catheter in pediatrics Comparing of local warming and intravenous assistive device (vein viewer) on duration and first attempt success rate for inserting of peripheral venous catheter in 1- 36 months pediatrics referred to pediatric ward of imam Khomeini hospital in esfarayen, iran 2020-04-03 anticipated 150 Complete https://irct.ir/trial/44325 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Other, Randomization description: Samples are randomly assigned to four groups using a random number table. Numbers 00-24 for local warming intervention, 25-49 numbers for vein viewer intervention, 50-74 numbers for local warming with vein viewer group device and numbers 75-99 are considered for the control group. The researchers then put on one of the numbers on the table of random numbers and move to the right and down of the table. We record the numbers and assign them to different groups. 3 Condition 1: Diarrhea. Condition 2: Pneumonia. Condition 3: Urinary tract infection. Intervention 1: Vein viewer device group: After fasten the tourniquet on the upper limbs (hands), nurse turn on vein viewer device (Vein light LED plus) and illuminate at 90 degrees in skin. After observing the vein, 70% alcohol is rubbed site, then the peripheral catheter N.24 will be inserted. Intervention 2: In the intervention local warming group , Nurse fasten the tourniquet and determine a suitable vein. then, she open tourniquet and put on"hot-water bottle" (40 ° C ) that wrapped in a texture( temperature will be confirmed by laser thermometer) in site of catheter insertion. it remain on the skin for 2 min. skin temperature is checked every 30 seconds. Again, the tourniquet is fastened in the upper limb and peripheral catheter will be inserted at a predetermined site. Intervention 3: Combination Intervention group (local warming plus vein viewer device) : Nurse fasten the tourniquet and determine a suitable vein. Then, she open tourniquet and put on "hot-water bottle" (40 ° C ) in site of catheter insertion that wrapped in a texture( temperature will be confirmed by laser thermometer). It remain on the skin for 2 min. skin temperature is checked every 30 seconds. Again, the tourniquet is fastened in the upper limb, nurse turn on vein viewer device (Vein light LED plus) and illuminate at 90 degrees on skin. After observing the vein, 70% alcohol is rubbed site, then the peripheral catheter N.24 will be inserted. Intervention 4: In control group, nurse fasten tourniquet and based on their previous experience insert the catheter after disinfection site with Alcohol 70%. Yes - There is a plan to make this available What will be shared: Documentation is registered "Pajouhan" system after completion of the study . Also, participants general information and the effectiveness of interventions will be recorded in the article. When: Accessibility after publish of article To whom: People interested in pediatric nursing scope Conditions: People looking for ways to facilitate catheter insertion in pediatric who can access the data Where to obtain: Faculty of Medical Sciences Esfarāyen, imama reza s.tEsfarāyen,North Khorasan How to obtain: They can access to data through below email as soon as possible s.j.hoseini2016@gmail.com Comments:
public Seyed Javad Hosseini
Esfarāyen Faculty of Medical Sciences , Imama Reza S.t, Esfarāyen, North Khorasan
Esfarayen Iran (Islamic Republic of) 76981-96618 0098 5831550000- 602 s.j.hoseini2016@gmail.com Esfarayen University of Medical Sciences scientific Seyed Javad Hosseini
Esfarāyen Faculty of Medical Sciences , Imam Reza S.t, Esfarāyen, North Khorasan
Esfarayen Iran (Islamic Republic of) 76981-96618 +98 58 3723 2650 s.j.hoseini2016@gmail.com Esfarayen University of Medical Sciences Iran (Islamic Republic of) Age less than 36 months and more than one month. Patients require to the insert of catheter 1 month 36 months Both Parental unwillingness to cooperate Patient has a emergency condition. R19.7 A37.91 N39.0 Diarrhea, unspecified Whooping cough, unspecified species with pneumonia Urinary tract infection, site not specified Other Other Other Other Vein viewer device group: After fasten the tourniquet on the upper limbs (hands), nurse turn on vein viewer device (Vein light LED plus) and illuminate at 90 degrees in skin. After observing the vein, 70% alcohol is rubbed site, then the peripheral catheter N.24 will be inserted. In the intervention local warming group , Nurse fasten the tourniquet and determine a suitable vein. then, she open tourniquet and put on"hot-water bottle" (40 ° C ) that wrapped in a texture( temperature will be confirmed by laser thermometer) in site of catheter insertion. it remain on the skin for 2 min. skin temperature is checked every 30 seconds. Again, the tourniquet is fastened in the upper limb and peripheral catheter will be inserted at a predetermined site. Combination Intervention group (local warming plus vein viewer device) : Nurse fasten the tourniquet and determine a suitable vein. Then, she open tourniquet and put on "hot-water bottle" (40 ° C ) in site of catheter insertion that wrapped in a texture( temperature will be confirmed by laser thermometer). It remain on the skin for 2 min. skin temperature is checked every 30 seconds. Again, the tourniquet is fastened in the upper limb, nurse turn on vein viewer device (Vein light LED plus) and illuminate at 90 degrees on skin. After observing the vein, 70% alcohol is rubbed site, then the peripheral catheter N.24 will be inserted. In control group, nurse fasten tourniquet and based on their previous experience insert the catheter after disinfection site with Alcohol 70%. First attempt success rate for inserting of peripheral venous catheter. Timepoint: Immediately after fixation of catheter on the skin. Method of measurement: Possible to injection of "water for injection" from the Y-shaped part of the "Micro Drop Infusion Set" without causing swelling at the top of catheter insertion. Inserting of peripheral venous catheter duration. Timepoint: Since initiation catheter insertion until it is fixed in place. Method of measurement: Using the Stopwatch. The time spent to find a peripheral venous. Timepoint: Since the fasten of tourniquet to start inserting of peripheral venous catheter. Method of measurement: Using the Stopwatch. Esfarayen University of Medical Sciences Approved 2019-12-09 Ethics committee of Esfarayen faculity of Medical Sciences Faculity of Medical Sciences, Imam Reza S.t, Esfarayen, North Khorasan Esfarayen North Khorasan Iran (Islamic Republic of)