Post Anesthesia Care Unit (PACU) Weighted Blanket Study

Cardiac Catheterization Clinical Trial

Official title:

Effectiveness of Weighted Blankets to Decrease Emergence Agitation, Sedation, and Vascular Complications in a Pediatric Cardiac Post Anesthesia Care Unit Following Cardiac Catheterization

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05632640
• Other study ID #: HUM00215568
• Status: Recruiting
• Phase: N/A
• Start date: March 8, 2023
• Est. completion date: March 2025

Study information

• Verified date: September 2023
• Source: University of Michigan
• Contact: Cynthia Smith
• Phone: 734-615-0590
• Email: csmithw[@]umich.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is being conducted to evaluate the safety and efficacy of weighted blankets to reduce agitation in patients in the post-procedural phase after cardiac catheterization and electrophysiology procedures in the post anesthesia care unit.

The study hypothesizes that compared to the traditional and current post-procedural strategy, weighted blanket use will reduce agitation and therefore lessen the need for additional sedation along with a reduction of post-procedure vascular complications.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 120
• Est. completion date: March 2025
• Est. primary completion date: March 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 3 Years to 17 Years

Eligibility

Inclusion Criteria:

• Patients undergoing cardiac catheterization or electrophysiology procedure

• Post Procedure bedrest plan for greater than (>)2 hours

• Duration of recovery planned for 11th floor cardiac PACU

Exclusion Criteria:

• Patients less than (<) 40 pounds (18 kilogram (kg))

• Patients > 220 pounds (100 kg)

• Recovery anticipated to not be in our cardiac PACU

• Posttraumatic stress disorder

• Claustrophobia

• Uncontrolled seizure disorders

• Open heart surgery within 30 days

• Severe pulmonary hypertension

• Severe asthma

• Sleep apnea requiring continuous positive airway pressure (CPAP)

• Known diaphragm paresis

• Home vent/CPAP

• Restrictive lung disease (such as patients with scoliosis)

• Higher risk for upper respiratory airway occlusion (such as patients with Down Syndrome)

• Cast, brace or splint, fractures

• Degenerative muscular disorder (such as patients with cerebral palsy)

• Areas of impaired skin integrity

• Gastrostomy tube

• Percutaneous endoscopic gastrostomy

• Tracheostomy

• Chest tube(s)

• PACU procedures required (within 1 hour post arrival): post operative (post op) echocardiogram, post op Xray, post op electrocardiogram

Related Conditions & MeSH terms

• Body Weight
• Cardiac Catheterization

Intervention

Other:
• Standard of Care
Following the participants procedure, standard of care will be given in the recovery area.

Device:
• Weighted blanket
Following the participants procedure once in the recovery area, the nursing staff will place a weighted blanket on the participants. Different weighted blanket sizes will be used based on participants weight.

Locations

Country	Name	City	State
United States	University of Michigan	Ann Arbor	Michigan

Sponsors (1)

Lead Sponsor	Collaborator
University of Michigan

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Average Richmond Agitation Sedation Scale (RASS) compared between the two groups	Richmond Agitation Sedation Score is a validated and standardized scoring system ranging from negative 5 (unarousable sedation) to 0 (awake and calm) to 4 (combative).	up to 60 minutes (after arrived to PACU)
Secondary	Analgesia administered in the recovery area	Number of medications (Midazolam, Ketamine, Propofol, Dexmedetomidine, Lorazepam, etc.) required during the recovery period following the procedure.	up to 6 hours after arriving in the PACU
Secondary	Incidence of vascular complications in the recovery area	This will include participants that have episodes of re-bleeding and hematomas.	up to 6 hours after arriving in the PACU
Secondary	Safety measures assessed by vital sign parameters for absolute oxygen (O2 saturation)	Absolute oxygen (O2) saturation drop of 10 points or more from recovery area arrival baseline.	up to 6 hours after arriving in the PACU
Secondary	Safety measures assessed by vital sign parameters for respiration rate	Respiration rate decreased 20% or more from recovery arrival baseline.	up to 6 hours after arriving in the PACU
Secondary	Safety measures assessed by vital sign parameters for respiratory effort	Increased Respiratory Effort (retractions, labored, nasal flaring, etc.) as compared to recover area arrival baseline	up to 6 hours after arriving in the PACU