Transhepatic Versus Subcostal Views to Assess Inferior Vena Cava Variation in Pediatric Patients

Stanford University

Status: Not yet enrolling

Conditions: Inferior Vena Cava Abnormality

Treatments: Diagnostic Test: Ultrasound Analysis of Inferior Vena Cavae (IVC)

Study type: Interventional

Funder types: Other

Identifiers

NCT04298216

55097

Details and patient eligibility

About

Currently, in order to visualize the inferior vena cava (IVC) of the heart using ultrasound, physicians traditionally place the ultrasound probe onto the "Subcostal" area which is located below the chest in the upper abdomen area. In this location, the pressure from the ultrasound probe is often uncomfortable for adults, and even more so for pediatric patients. Previous research and physician experience have demonstrated that it is possible to visualize the heart in the "transhepatic" area which is located under the arm on the side of the chest. By placing the ultrasound probe in this location, it is more comfortable for the patient when applying pressure, and this study aims to prove the effectiveness of visualizing the heart through this new location.

Enrollment: 100 estimated patients

Sex: All

Ages: 2 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Be between ages of 2-18 years of age
2. Have parental consent
3. located at an inpatient/outpatient facility at LPCH
4. Be hemodynamically stable

Exclusion criteria

1. Emergent Surgical Procedures
2. BMI greater than 24

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

100 participants in 2 patient groups

Assessment of Inferior Vena Cavae with Subcostal View

Active Comparator group

Description:

Patients will have a novel operator attempt to visualize their Inferior Vena Cavae with the probe placed in the subcostal region.

Treatment:

Diagnostic Test: Ultrasound Analysis of Inferior Vena Cavae (IVC)

Assessment of Inferior Vena Cavae with Transhepatic View

Experimental group

Description:

Patients will have a novel operator attempt to visualize their Inferior Vena Cavae with the probe placed in the transhepatic region.

Treatment:

Diagnostic Test: Ultrasound Analysis of Inferior Vena Cavae (IVC)