Volumetric Bladder Ultrasound Training for Pediatric Residents

Ultrasound Training Clinical Trial

Official title:

Volumetric Bladder Ultrasound Training for Pediatric Residents: Curriculum Implementation and Learning Trajectory

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03129789
• Other study ID #: 17-0032
• Status: Completed
• Phase: N/A
• First received: April 14, 2017
• Last updated: March 27, 2018
• Start date: April 3, 2017
• Est. completion date: November 12, 2017

Study information

• Verified date: March 2018
• Source: Northwell Health
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Monitoring fluid balance is crucial in the care of critically ill children. There are several reasons urine output could be decreased. For example, the bladder could be empty because the patient isn't making urine due to dehydration, or the bladder could be full but the patient unable to urinate due to obstruction of the bladder outlet. It is prudent to distinguish this difference in the care of Pediatric Intensive Care Unit patients as the potential interventions vary and none is without potential drawbacks if used inappropriately. At present, there is no standard way to determine whether an oliguric patient has a bladder that is under- or over-filled. Bedside ultrasound is safe, non-invasive, painless, and relatively quick and can help assess bladder volume at the time of noted oliguria. Several studies in pediatrics endorse the use of ultrasound to approximately measure urine volume. Pediatric residents are frequently asked to manage patients' oliguria in the Pediatric Intensive Care Unit, however, they are not currently being trained how to use ultrasound to measure bladder volume. The investigators hypothesize that following a structured learning plan, by the end of their one-month Pediatric Intensive Care Unit rotations, pediatric residents will be able to independently and accurately measure bladder volume by ultrasound. Volumetric bladder ultrasound is an easily mastered bedside imaging technique. Its implementation could positively affect care of the critically ill infant or child.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 14
• Est. completion date: November 12, 2017
• Est. primary completion date: November 12, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• medical resident rotating through the Pediatric Intensive Care Unit

Exclusion Criteria:

Related Conditions & MeSH terms

• Ultrasound Training

Intervention

Other:
• Volumetric Bladder Ultrasound Training
teaching residents to perform bladder volumetric ultrasound

Locations

Country	Name	City	State
United States	Steven and Alexandra Cohen Childrens Medical Center of NY	New Hyde Park	New York

Sponsors (1)

Lead Sponsor	Collaborator
Northwell Health

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	competency	participant correctly performs and accurately interprets bladder volume measurements as outlined above three consecutive times	1 month
Secondary	post-instruction questionnaire	assess knowledge of basic ultrasound image acquisition and interpretation, confidence in ability to use volumetric bladder ultrasound, satisfaction with attainment of a new skill, and critical evaluation of the curriculum	1 month
Secondary	skill retention	test to determine if participants are able to correctly performs and accurately interprets bladder volume measurements 3 months after training	3 months