The Incidence of IV Fluid Over-administration in Pediatric Dental Surgeries When Infusion Pumps Are Employed

University of Saskatchewan

Status: Completed

Conditions: Dental Caries

Treatments: Device: Gravity drip device; Device: Hospira plum pump

Study type: Interventional

Funder types: Other

Identifiers

NCT03312452

DBJG17-165

Details and patient eligibility

About

A prospective, analyst-blinded, randomized control trial to assess the incidence of intravenous (IV) fluid over-administration in the setting of pediatric dental surgeries. Anesthetists will be randomized to either administer their IV fluid through an infusion pump or a gravity drip device.

Full description

In the perioperative setting, IV fluids are administered to mitigate the effects of preoperative fasting and sources of fluid loss that are unique to surgical intervention. Significant harms have been associated with the over-administration of IV fluid in pediatric patients. Infusion pumps have been shown to reduce medication administration errors in inpatients receiving continuous IV infusions. In contrast, laboratory experiments have demonstrated that gravity driven fluid delivery systems are influenced by numerous extrinsic factors. To date, no work has investigated the perioperative incidence of IV fluid over-administration in pediatric patients randomized either to infusion pumps (intervention) or gravity-fed IV systems (control).

Enrollment: 103 patients

Sex: All

Ages: 2 to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• ASA 1 and 2 children presenting for dental surgery

Exclusion criteria

• Children with pre-existing cardiac, renal, pulmonary or endocrine disease. In addition any child with an ASA score of 3 or greater.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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103 participants in 2 patient groups

Infusion pump group

Experimental group

Description:

Study subjects assigned to this group will receive intravenous fluid via an infusion pump (Hospira plum pump) during their surgery.

Treatment:

Device: Hospira plum pump

Gravity drip group

Active Comparator group

Description:

Study subjects assigned to this group will receive intravenous fluid via a gravity drip device during their surgery.

Treatment:

Device: Gravity drip device