Emergency Department Rapid Intravenous Rehydration (RIVR) for Pediatric Gastroenteritis

Dehydration Clinical Trial

Official title: Emergency Department Rapid Intravenous Rehydration (RIVR) for Pediatric Gastroenteritis: A Randomized Controlled Trial

Status Completed

Clinical Trial Summary

This study will look at children with dehydration secondary to gastroenteritis requiring IV rehydration and determine whether the proportion rehydrated after two hours is greater in the children who receive rapid intravenous rehydration (RIVR) or in the children who receive standard IV rehydration.

Clinical Trial Description

Despite a movement toward increased use of enteral rehydration, many children still receive prolonged IV rehydration in the emergency department (ED). These children commonly receive a single IV bolus of normal saline followed by the administration of a hypotonic solution at a maintenance rate.

The mean time spent in the ED by children receiving IV rehydration is significantly longer than the mean time required to treat all other conditions. ED overcrowding has been associated with poor outcomes, prolonged pain and suffering, and dissatisfaction. One of the solutions proposed in the American Academy of Pediatrics Policy Statement on ED overcrowding is that hospitals should strive to improve the efficiency of the care provided. One small step in this direction may be to improve our management of gastroenteritis and dehydration. ;

Related Conditions & MeSH terms

• Dehydration
• Emergencies
• Gastroenteritis

• NCT number: NCT00392145
• Study type: Interventional
• Source: The Hospital for Sick Children
• Status: Completed
• Phase: Phase 4
• Start date: November 2006
• Completion date: May 2010