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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

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Randomized Prospective Clinical Trial Comparing Room Temperature and Warmed Intravenous Fluid Boluses on Pediatric

Katelyn Hausfeld1, Rachel B Baker2, Patricia Boettcher-Prior2

  • 1North Carolina's Children's Hospital at UNC Health Care, Chapel Hill, NC.

Journal of Pediatric Nursing
|August 17, 2015
PubMed

Insights

Warming intravenous (IV) fluids significantly improved comfort in pediatric patients receiving IV fluid boluses in the emergency department. Patients receiving warmed fluids reported less arm coldness compared to those receiving room temperature fluids.

Area of Science:

  • Pediatric Emergency Medicine
  • Patient Comfort Studies
  • Intravenous Fluid Therapy

Background:

  • Pediatric patients often report discomfort, specifically coldness, during intravenous (IV) fluid bolus administration.
  • This discomfort can negatively impact the patient experience in emergency settings.

Purpose of the Study:

  • To evaluate if warmed IV fluids enhance comfort in pediatric patients compared to room temperature IV fluids.
  • To assess the impact of fluid temperature on patient-reported comfort and arm temperature during IV infusions.

Main Methods:

  • A blinded, randomized controlled trial involving 126 pediatric patients.
  • Measurements included overall comfort, arm comfort, and arm temperature at baseline, 15 minutes, and 60 minutes.
  • Comparison between warmed IV fluids and room temperature IV fluids.

Main Results:

  • Patients receiving warmed IV fluids reported significantly higher comfort levels after 15 minutes (p=0.04).
  • Room temperature IV fluids were associated with significantly cooler arm temperatures (p=0.0015).

Conclusions:

  • Warming IV fluids is a simple intervention that can improve pediatric patient comfort during IV bolus administration.
  • This practice has the potential to enhance the overall patient experience in emergency departments.

Keywords:
ComfortIV fluidsPediatricWarmed fluids

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