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

Primary Purpose

Inferior Vena Cava Abnormality

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Ultrasound Analysis of Inferior Vena Cavae (IVC)
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Inferior Vena Cava Abnormality

Eligibility Criteria

2 Years - 18 Years (Child, Adult)All SexesAccepts 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

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Assessment of Inferior Vena Cavae with Subcostal View

    Assessment of Inferior Vena Cavae with Transhepatic View

    Arm Description

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

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

    Outcomes

    Primary Outcome Measures

    Time
    Novel Operators will be timed from the point at which the probe is placed until the image has been and will be evaluated between both the control and experimental groups.
    Accuracy of the IVC Analysis
    Novel Operators will be evaluated by the ultrasound expert who will confirm clinical success in locating the IVC.

    Secondary Outcome Measures

    Full Information

    First Posted
    March 4, 2020
    Last Updated
    April 17, 2023
    Sponsor
    Stanford University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04298216
    Brief Title
    Transhepatic Versus Subcostal Views to Assess Inferior Vena Cava Variation in Pediatric Patients
    Official Title
    Evaluation of Transhepatic Versus Subcostal Inferior Vena Cava Views to Assess Inferior Vena Cava Variation in Pediatric Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    January 2024 (Anticipated)
    Primary Completion Date
    December 2024 (Anticipated)
    Study Completion Date
    December 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Stanford University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No

    5. Study Description

    Brief Summary
    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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Inferior Vena Cava Abnormality

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    100 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Assessment of Inferior Vena Cavae with Subcostal View
    Arm Type
    Active Comparator
    Arm Description
    Patients will have a novel operator attempt to visualize their Inferior Vena Cavae with the probe placed in the subcostal region.
    Arm Title
    Assessment of Inferior Vena Cavae with Transhepatic View
    Arm Type
    Experimental
    Arm Description
    Patients will have a novel operator attempt to visualize their Inferior Vena Cavae with the probe placed in the transhepatic region.
    Intervention Type
    Diagnostic Test
    Intervention Name(s)
    Ultrasound Analysis of Inferior Vena Cavae (IVC)
    Intervention Description
    Novel Operators will attempt to visualize the Inferior Vena Cavae through two different views on the patient's body. The images taken will be interpreted by an expert ultrasound user to determine if the novel operator was successful in locating and evaluating the IVC.
    Primary Outcome Measure Information:
    Title
    Time
    Description
    Novel Operators will be timed from the point at which the probe is placed until the image has been and will be evaluated between both the control and experimental groups.
    Time Frame
    For the entirety of the ultrasound procedure.
    Title
    Accuracy of the IVC Analysis
    Description
    Novel Operators will be evaluated by the ultrasound expert who will confirm clinical success in locating the IVC.
    Time Frame
    For the entirety of the ultrasound procedure.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    2 Years
    Maximum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Be between ages of 2-18 years of age Have parental consent located at an inpatient/outpatient facility at LPCH Be hemodynamically stable Exclusion Criteria: Emergent Surgical Procedures BMI greater than 24
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Aaron Deng, BS
    Phone
    (408)914-5494
    Email
    adeng1@stanford.edu

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

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

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