Does the Use of a Moisture Chamber Decrease the Incidence of Corneal Abrasions in Critically Ill Pediatric Patients?

This study has been completed.
Sponsor:
Collaborators:
Children's Hospital Boston
Society of Critical Care Medicine
SePA Chapter of the American Association of Critical Care Nurses
Information provided by:
Ann & Robert H Lurie Children's Hospital of Chicago
ClinicalTrials.gov Identifier:
NCT00129077
First received: August 9, 2005
Last updated: July 9, 2007
Last verified: July 2007
  Purpose

The purpose of this study is to identify the incidence of scratches on the surface of the eye in children who cannot blink due to medication use and to identify how best to reduce the risk of a scratch on the surface of the eye when patients are using specific medicines.


Condition Intervention
Eye Injuries
Critically Ill
Procedure: plastic wrap over eye & lubrication applied q6 hrs

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Does the Use of a Moisture Chamber Decrease the Incidence of Corneal Abrasions in Critically Ill Pediatric Patients?

Resource links provided by NLM:


Further study details as provided by Ann & Robert H Lurie Children's Hospital of Chicago:

Primary Outcome Measures:
  • Development of corneal abrasions [ Time Frame: 9 days ]

Secondary Outcome Measures:
  • Incidence of corneal abrasions [ Time Frame: 36 hours ]

Enrollment: 207
Study Start Date: March 2004
Study Completion Date: December 2006
Detailed Description:

Critically ill children may require neuromuscular blockade as a treatment modality. These children require careful eye care to prevent corneal abrasions. However, current evidence does not exist to guide best practices on eye care. This research study will evaluate 2 types of eye care therapy. The eyes will be randomly assigned to the control or experimental eye care therapy group. The control eye will receive lubricating ointment every 6 hours. The experimental eye will receive lubricating ointment every 6 hours and have a plastic covering to create a moisture chamber. Using daily fluorescein staining to detect corneal abrasions, each child will be studied for up to 9 days. Children who develop corneal abrasions will be discharged from the study and the primary care team will be notified. The two groups will then be compared to determine the therapy associated with the lowest incidence of corneal abrasions.

  Eligibility

Ages Eligible for Study:   up to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age greater than 42 weeks post-conceptual age and less than 18 years
  • Anticipated need for neuromuscular blockade therapy for at least 24 hours

Exclusion Criteria:

  • Use of continuous neuromuscular blockade therapy for more than 36 hours (early intervention study)
  • Past medical history of abnormal blink reflex or incomplete lid closure
  • History of daily eye drop use
  • Facial trauma
  • Alteration in periorbital skin integrity prohibiting eyelid closure or effective creation of a moisture chamber
  • Known allergy to eye lubricant
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00129077

Locations
United States, Illinois
Children's Memorial Hospital
Chicago, Illinois, United States, 60614
United States, Massachusetts
Children's Hospital Boston
Boston, Massachusetts, United States, 02115
Sponsors and Collaborators
Ann & Robert H Lurie Children's Hospital of Chicago
Children's Hospital Boston
Society of Critical Care Medicine
SePA Chapter of the American Association of Critical Care Nurses
Investigators
Study Chair: Martha AQ Curley, PhD Children's Hospital Boston
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00129077     History of Changes
Other Study ID Numbers: 2003-12005
Study First Received: August 9, 2005
Last Updated: July 9, 2007
Health Authority: United States: Institutional Review Board

Keywords provided by Ann & Robert H Lurie Children's Hospital of Chicago:
Pediatric critical care
neuromuscular blocking agents
corneal abrasions

Additional relevant MeSH terms:
Critical Illness
Eye Injuries
Wounds and Injuries
Disease Attributes
Pathologic Processes
Eye Diseases
Facial Injuries
Craniocerebral Trauma
Neuromuscular Blocking Agents
Neuromuscular Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on April 17, 2014