Internal Jugular Ultrasound Measures During Respiration in Children
Project Aims: The purpose of this study is to determine the size of the right internal jugular vein (RIJV) in children with normal respiratory physiology during the respiratory cycle and evaluate the reliability of those measurements.
Hypothesis: Ultrasound measurements of internal jugular vein collapse of children can be reliably measured in the respiratory cycle.
Intervention: We will ensure that the patient is not having any respiratory symptoms or signs of dehydration. A clinical asthma score will be assigned using the Modified Woods pulmonary index scoring system. The Gorelick Dehydration Scale with also be calculated.
Using bedside ultrasonography with the Sonosite Titan ultrasound machine, each measurement will be taken with the subject lying in bed with the head of the bed elevated at 45 degrees with the subject's head in the neutral position and then turned 45 degrees leftward. Measurements of the internal jugular vein at maximal inhalation and exhalation will be recorded. Reliability calculations will be assessed.
Device: Sonosite Titan Ultrasound Machine
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Characteristics of the Internal Jugular Vein by Ultrasonography During Respiration in Children|
- Measurement of diameter of right internal jugular vein during the respiratory cycle at max inhalation and exhalation [ Time Frame: During ED stay at initiation of intervention ] [ Designated as safety issue: No ]
- Clinical Asthma Score [ Time Frame: During ED stay at initiation of intervention ] [ Designated as safety issue: No ]Will be recorded using Modified Woods pulmonary index scoring system.
- Measurement of level of dehydration [ Time Frame: During ED stay ] [ Designated as safety issue: No ]Will measure using the Gorelick scale.
|Study Start Date:||January 2014|
|Study Completion Date:||June 2015|
|Primary Completion Date:||January 2015 (Final data collection date for primary outcome measure)|
normal respiratory function
This will include the 40 subjects enrolled in the study
|Device: Sonosite Titan Ultrasound Machine|
Please refer to this study by its ClinicalTrials.gov identifier: NCT02004938
|United States, Kentucky|
|Kosair Children's Hospital|
|Louisville, Kentucky, United States, 40202|
|Principal Investigator:||Michelle D Stevenson, MD, MS||University of Louisville|