Evaluation of Warm and Room Temperature Intravenous Fluids on Aural Temperature in Injured Children

2.50
Hdl Handle:
http://hdl.handle.net/10755/162821
Type:
Presentation
Title:
Evaluation of Warm and Room Temperature Intravenous Fluids on Aural Temperature in Injured Children
Abstract:
Evaluation of Warm and Room Temperature Intravenous Fluids on Aural Temperature in Injured Children
Conference Sponsor:Emergency Nurses Association
Conference Year:1996
Author:Bernardo, Lisa Marie, RN, PhD, CEN
Co-Authors:Richard Henker, RN, PhD, CCRN; Marianne Bove, RN, BSN, CEN; and Susan Sereika, PhD
Purpose: Warm intravenous fluid (W-IVF) administration is the standard of care to prevent hypothermia in injured adults. It is argued that such administration may not be helpful for treating injured children, as children often do not require as much intravenous fluid (IVF) as adults. The purpose of this study was to compare the effects of W-IVF to room temperature intravenous fluid (RT-IVF) administration on aural temperature (Ta) in injured children during the first hour of trauma resuscitation.

Design: A randomized controlled repeated measures trial.

Setting: Emergency department (ED), intensive care unit and diagnostic areas in a level I pediatric trauma center.

Sample: Thirty moderately or severely injured children, ranging in age from 2 to 17 years (Mean=8.9; SD=4.4).

Methodology: Eligible children were randomized to receive either W-IVF or RT-IVF upon ED arrival. Warmed IVF was administered with the Hotline fluid warmer (Level-1 Technologies, Rockland, MA). Aural temperatures were measured upon arrival and every 10 minutes for one hour with a Core Check Tympanic Thermometer (IVAC, San Diego, CA).

Results: The level of significance for hypothesis testing was set at .05 (two-tailed). Groups were comparable in age, gender, weight, amount of infused IVF, Revised Trauma Score, room temperature, and baseline Ta. On average, Ta for the W-IVF group increased by 0.25 degrees C from baseline to final Ta, whereas, Ta for the RT-IVF group decreased by 0.32¦C from baseline to final Ta. Repeated measures ANCOVA, treating baseline Ta as a co-variate, demonstrated that the response profiles were similar (p=.06).

Conclusions: When comparing the changes between baseline and final Ta for the W-IVF and RT-IVF groups, the standardized difference in temperature change 0.62. Although results of the repeated measures ANCOVA were not statistically significant, the standardized difference in temperature changes was large enough to warrant administration of W-IVF, even at slow flow rates, to prevent hypothermia in injured children. [Research Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluation of Warm and Room Temperature Intravenous Fluids on Aural Temperature in Injured Childrenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162821-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation of Warm and Room Temperature Intravenous Fluids on Aural Temperature in Injured Children</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1996</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bernardo, Lisa Marie, RN, PhD, CEN</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Richard Henker, RN, PhD, CCRN; Marianne Bove, RN, BSN, CEN; and Susan Sereika, PhD</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Warm intravenous fluid (W-IVF) administration is the standard of care to prevent hypothermia in injured adults. It is argued that such administration may not be helpful for treating injured children, as children often do not require as much intravenous fluid (IVF) as adults. The purpose of this study was to compare the effects of W-IVF to room temperature intravenous fluid (RT-IVF) administration on aural temperature (Ta) in injured children during the first hour of trauma resuscitation.<br/><br/>Design: A randomized controlled repeated measures trial.<br/><br/>Setting: Emergency department (ED), intensive care unit and diagnostic areas in a level I pediatric trauma center.<br/><br/>Sample: Thirty moderately or severely injured children, ranging in age from 2 to 17 years (Mean=8.9; SD=4.4).<br/><br/>Methodology: Eligible children were randomized to receive either W-IVF or RT-IVF upon ED arrival. Warmed IVF was administered with the Hotline fluid warmer (Level-1 Technologies, Rockland, MA). Aural temperatures were measured upon arrival and every 10 minutes for one hour with a Core Check Tympanic Thermometer (IVAC, San Diego, CA).<br/><br/>Results: The level of significance for hypothesis testing was set at .05 (two-tailed). Groups were comparable in age, gender, weight, amount of infused IVF, Revised Trauma Score, room temperature, and baseline Ta. On average, Ta for the W-IVF group increased by 0.25 degrees C from baseline to final Ta, whereas, Ta for the RT-IVF group decreased by 0.32&brvbar;C from baseline to final Ta. Repeated measures ANCOVA, treating baseline Ta as a co-variate, demonstrated that the response profiles were similar (p=.06).<br/><br/>Conclusions: When comparing the changes between baseline and final Ta for the W-IVF and RT-IVF groups, the standardized difference in temperature change 0.62. Although results of the repeated measures ANCOVA were not statistically significant, the standardized difference in temperature changes was large enough to warrant administration of W-IVF, even at slow flow rates, to prevent hypothermia in injured children. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:44Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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