Trial Outcomes & Findings for Novel Device for Rapid Fluid Administration (NCT NCT03074682)

NCT ID: NCT03074682

Last Updated: 2019-01-31

Results Overview

Participants will be timed to determine if they are able to administer 60 mL/kg of fluid within a 20 minute timeframe. This outcome will be measured as a dichotomous 'yes' or 'no' as to whether the task was completed successfully. The initial registered primary outcome was changed from 60 cc/kg in 15 minutes to its current format before the study began.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

54 participants

Primary outcome timeframe

20 minutes

Results posted on

2019-01-31

Participant Flow

Participant milestones

Participant milestones
Measure
Pressure Bag
Participants in this arm will use a Pressure Bag to administer fluid in a simulation in a simulation setting. Pressure Bag: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Push/Pull
Participants in this arm will use the Push/Pull method to administer fluid in a simulation in a simulation setting. Push/Pull: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Lifeflow
Participants in this arm will use the Lifeflow device to administer fluid in a simulation in a simulation setting. Lifeflow: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Overall Study
STARTED
18
18
18
Overall Study
COMPLETED
18
18
18
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gender/sex was not collected for participants.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pressure Bag
n=18 Participants
Participants in this arm will use a Pressure Bag to administer fluid in a simulation in a simulation setting. Pressure Bag: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Push/Pull
n=18 Participants
Participants in this arm will use the Push/Pull method to administer fluid in a simulation in a simulation setting. Push/Pull: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Lifeflow
n=18 Participants
Participants in this arm will use the Lifeflow device to administer fluid in a simulation in a simulation setting. Lifeflow: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Total
n=54 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=18 Participants
0 Participants
n=18 Participants
0 Participants
n=18 Participants
0 Participants
n=54 Participants
Age, Categorical
Between 18 and 65 years
18 Participants
n=18 Participants
18 Participants
n=18 Participants
18 Participants
n=18 Participants
54 Participants
n=54 Participants
Age, Categorical
>=65 years
0 Participants
n=18 Participants
0 Participants
n=18 Participants
0 Participants
n=18 Participants
0 Participants
n=54 Participants
Sex: Female, Male
Female
0 Participants
Gender/sex was not collected for participants.
Sex: Female, Male
Male
0 Participants
Gender/sex was not collected for participants.
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
18 participants
n=18 Participants
18 participants
n=18 Participants
18 participants
n=18 Participants
54 participants
n=54 Participants
Provider Type
MD - Fellow
2 Participants
n=18 Participants
0 Participants
n=18 Participants
0 Participants
n=18 Participants
2 Participants
n=54 Participants
Provider Type
MD - Resident
7 Participants
n=18 Participants
8 Participants
n=18 Participants
7 Participants
n=18 Participants
22 Participants
n=54 Participants
Provider Type
MD - Attending
0 Participants
n=18 Participants
1 Participants
n=18 Participants
2 Participants
n=18 Participants
3 Participants
n=54 Participants
Provider Type
Paramedic
1 Participants
n=18 Participants
1 Participants
n=18 Participants
1 Participants
n=18 Participants
3 Participants
n=54 Participants
Provider Type
RN
8 Participants
n=18 Participants
8 Participants
n=18 Participants
8 Participants
n=18 Participants
24 Participants
n=54 Participants
Patients Cared For
0
0 Participants
n=18 Participants
1 Participants
n=18 Participants
1 Participants
n=18 Participants
2 Participants
n=54 Participants
Patients Cared For
1-5
8 Participants
n=18 Participants
8 Participants
n=18 Participants
8 Participants
n=18 Participants
24 Participants
n=54 Participants
Patients Cared For
6-10
3 Participants
n=18 Participants
3 Participants
n=18 Participants
4 Participants
n=18 Participants
10 Participants
n=54 Participants
Patients Cared For
> 10
7 Participants
n=18 Participants
6 Participants
n=18 Participants
5 Participants
n=18 Participants
18 Participants
n=54 Participants
Preferred Method
Pressure Bag
7 Participants
n=18 Participants
7 Participants
n=18 Participants
6 Participants
n=18 Participants
20 Participants
n=54 Participants
Preferred Method
Push/Pull
4 Participants
n=18 Participants
7 Participants
n=18 Participants
8 Participants
n=18 Participants
19 Participants
n=54 Participants
Preferred Method
Rapid Infuser
2 Participants
n=18 Participants
0 Participants
n=18 Participants
1 Participants
n=18 Participants
3 Participants
n=54 Participants
Preferred Method
Pump/Smart Pump
4 Participants
n=18 Participants
2 Participants
n=18 Participants
1 Participants
n=18 Participants
7 Participants
n=54 Participants
Preferred Method
Syringe
0 Participants
n=18 Participants
2 Participants
n=18 Participants
0 Participants
n=18 Participants
2 Participants
n=54 Participants
Preferred Method
MISSING
1 Participants
n=18 Participants
0 Participants
n=18 Participants
2 Participants
n=18 Participants
3 Participants
n=54 Participants
Simulation Experience
> 5 Sims per Year
7 Participants
n=18 Participants
10 Participants
n=18 Participants
9 Participants
n=18 Participants
26 Participants
n=54 Participants
Simulation Experience
1 -5 Sims per Year
11 Participants
n=18 Participants
8 Participants
n=18 Participants
9 Participants
n=18 Participants
28 Participants
n=54 Participants
Clinical Team Member Experience
Yes
16 Participants
n=18 Participants
16 Participants
n=18 Participants
16 Participants
n=18 Participants
48 Participants
n=54 Participants
Clinical Team Member Experience
No
2 Participants
n=18 Participants
2 Participants
n=18 Participants
2 Participants
n=18 Participants
6 Participants
n=54 Participants

PRIMARY outcome

Timeframe: 20 minutes

Participants will be timed to determine if they are able to administer 60 mL/kg of fluid within a 20 minute timeframe. This outcome will be measured as a dichotomous 'yes' or 'no' as to whether the task was completed successfully. The initial registered primary outcome was changed from 60 cc/kg in 15 minutes to its current format before the study began.

Outcome measures

Outcome measures
Measure
Pressure Bag
n=18 Participants
Participants in this arm will use a Pressure Bag to administer fluid in a simulation in a simulation setting. Pressure Bag: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Push/Pull
n=18 Participants
Participants in this arm will use the Push/Pull method to administer fluid in a simulation in a simulation setting. Push/Pull: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Lifeflow
n=18 Participants
Participants in this arm will use the Lifeflow device to administer fluid in a simulation in a simulation setting. Lifeflow: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Successful Administration of 60 mL/kg
14 Participants
18 Participants
16 Participants

SECONDARY outcome

Timeframe: Up to 20 minutes

Participants will be timed to determine if they are able to administer 60 mL/kg of fluid within a 20 minute timeframe. The time in which they complete the task will be captured in minutes. The initial registered primary outcome was changed from 60 cc/kg in 15 minutes to its current format before the study began.

Outcome measures

Outcome measures
Measure
Pressure Bag
n=18 Participants
Participants in this arm will use a Pressure Bag to administer fluid in a simulation in a simulation setting. Pressure Bag: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Push/Pull
n=18 Participants
Participants in this arm will use the Push/Pull method to administer fluid in a simulation in a simulation setting. Push/Pull: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Lifeflow
n=18 Participants
Participants in this arm will use the Lifeflow device to administer fluid in a simulation in a simulation setting. Lifeflow: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Time to Complete Fluid Administration
718.9 seconds
Standard Deviation 57.3
519.4 seconds
Standard Deviation 26.3
376.5 seconds
Standard Deviation 30.4

SECONDARY outcome

Timeframe: 15 minutes

The NASA Task Load Index (TLX) is a series of measures that capture workload. Each scale employs a visual analog scale that measures each of the domains. The domains are Mental Domain, Physical Demand, Temporal Demand, Performance, Effort and Frustration Level. Each scale domain and the Composite has a range from 0 to 100 with 100 being the highest indicator of workload.

Outcome measures

Outcome measures
Measure
Pressure Bag
n=18 Participants
Participants in this arm will use a Pressure Bag to administer fluid in a simulation in a simulation setting. Pressure Bag: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Push/Pull
n=18 Participants
Participants in this arm will use the Push/Pull method to administer fluid in a simulation in a simulation setting. Push/Pull: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
Lifeflow
n=18 Participants
Participants in this arm will use the Lifeflow device to administer fluid in a simulation in a simulation setting. Lifeflow: Following a 5-minute training video where instructions on device are presented to participants, participants are given the device, a 1L NS bag, tubing and a 22g IV. Prior to beginning the simulation, they will demonstrate ability to set up the device and fill an empty container with fluid.
NASA Task Load Index (TLX)
Composite
42.50 score on a scale
Interval 22.08 to 54.79
40.42 score on a scale
Interval 22.29 to 48.13
30.00 score on a scale
Interval 22.08 to 38.33
NASA Task Load Index (TLX)
Mental
60.00 score on a scale
Interval 43.75 to 75.0
57.50 score on a scale
Interval 31.25 to 68.78
37.50 score on a scale
Interval 20.0 to 50.0
NASA Task Load Index (TLX)
Physical
20.00 score on a scale
Interval 5.0 to 57.5
22.50 score on a scale
Interval 11.25 to 53.75
20.00 score on a scale
Interval 5.0 to 50.0
NASA Task Load Index (TLX)
Temporal
55.00 score on a scale
Interval 30.0 to 71.25
62.50 score on a scale
Interval 31.25 to 75.0
35.00 score on a scale
Interval 23.75 to 51.25
NASA Task Load Index (TLX)
Performance
27.50 score on a scale
Interval 20.0 to 47.5
22.50 score on a scale
Interval 10.0 to 37.5
25.00 score on a scale
Interval 20.0 to 30.0
NASA Task Load Index (TLX)
Effort
57.50 score on a scale
Interval 30.0 to 75.0
50.00 score on a scale
Interval 33.75 to 65.0
40.00 score on a scale
Interval 20.0 to 56.25
NASA Task Load Index (TLX)
Frustration
15.00 score on a scale
Interval 5.0 to 40.0
17.50 score on a scale
Interval 6.25 to 30.0
12.50 score on a scale
Interval 5.0 to 17.5

OTHER_PRE_SPECIFIED outcome

Timeframe: 15 minutes

Population: This outcome is analyzed as the NASA Task Load Index (TLX).

A qualitative questionnaire will be administered to participants following the simulation. Questions include information about experience with various methods and other feedback relevant to evaluation. This outcome was included in the registration is actually captured by the NASA Task Load Index (TLX) that was reported.

Outcome measures

Outcome data not reported

Adverse Events

Pressure Bag

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Push/Pull

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Lifeflow

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Marc Auerbach

Yale University

Phone: 203-688-3333

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place