Clinical trial NCT03723408: Factors Increasing Air Burden in Intravenous Tubing
Official title: A Prospective Observational Study of Air Burden in Intravenous Tubing: Factors That Increase Patient Risk
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Air Embolism
Air Leakage
Air Burden
Lead sponsor: ClearLine MD
Sponsor class: INDUSTRY
First posted: 2018-10-29
Enrollment: 120
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: An observational prospective trial was conducted in operating room settings across multiple study sites. 120 surgical patients undergoing a variety of interventional and surgical procedures were selected, representing multiple patient populations, case types and anesthesia setups. The ClearLine IV, a device that detects and removes air from IV tubing, was inserted into the IV circuit. Clinicians followed standard protocols. Blood warmers were used at the practitioner's discretion. IV fluid was administered at a constant flow rate or through a bolus given over 30-60 seconds per standard of care. The volume and duration of fluid administration was recorded, along with the frequency, duration and amount of air captured by ClearLine IV.
Primary purpose: PREVENTION

Brief summary: There is widespread acceptance that air in intravenous (IV) fluid tubing (lines) can pose a significant risk to patients.1 A rigorous literature search regarding sources of this air identified only anecdotal and non-clinical work regarding the presence and sources of air in IV tubing. Most published case studies have focused on air entrainment from accidental or inadvertent sources - empty IV fluid bags, incomplete priming of the tubing prior to infusion, and air-detection device failures, as examples.

The sources (and volume) of air inside IV tubing during common surgical procedures or interventions have yet to be studied prospectively. Understanding the frequency and magnitude of the presence of unintended air in IV tubing is the first step in devising potential avoidance strategies for eliminating unintended air in IV tubing. This study was designed to identify both the sources and magnitude of air that occurs in IV tubing during routine surgical procedures.

Detailed description: Methods:

An observational prospective trial was conducted in operating room settings across multiple study sites. 120 surgical patients undergoing a variety of interventional and surgical procedures were selected, representing multiple patient populations, case types and anesthesia setups. The ClearLine IV, a device that detects and removes air from IV tubing, was inserted into the IV circuit. Clinicians followed standard protocols. Blood warmers were used at the practitioner's discretion. IV fluid was administered at a constant flow rate or through a bolus given over 30-60 seconds per standard of care. The volume and duration of fluid administration was recorded, along with the frequency, duration and amount of air captured by ClearLine IV.

Eligibility criteria: Inclusion Criteria:

* Any age - both pediatric and adult
* Weight equal to or greater than 5kg
* Surgical procedures
* Cardiac catherization procedures
* Minimum two hours procedure time

Exclusion Criteria:

* Patient weight less than 5 kg
* Procedures not involving surgery or cardiac catherization
* Procedures less than two hours

Primary outcomes:
measure: The frequency of air removed from intravenous tubing by ClearLine IV
timeFrame: 1 year
measure: The amount of air removed from intravenous tubing by ClearLine IV
timeFrame: 1 year
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Nicklaus Children's Hospital
name: Christopher Tirotta, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Johns Hopkins University
name: Jonathan Ho, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Loma Linda Medical Center
name: Davinder Ramsingh, MD
role: PRINCIPAL_INVESTIGATOR
References: