Fluids in Shock (FiSh) Feasibility Study Version 1.0

  • Research type

    Research Study

  • Full title

    Feasibility study to inform the design and conduct of the Fluids in Shock (FiSh) Trial

  • IRAS ID

    191348

  • Contact name

    David Inwald

  • Contact email

    d.inwald@imperial.ac.uk

  • Sponsor organisation

    Imperial College Healthcare NHS Trust

  • Duration of Study in the UK

    0 years, 6 months, 0 days

  • Research summary

    Children are now much more likely to survive any serious infection than ever before. This progress comes from a whole package of treatments including antibiotics, infusions of fluid (e.g. saline solution) into a child’s veins (“fluid bolus therapy”) and support for breathing and heart function. We hope to improve survival further by refining one part of this package of treatment: by exploring what is the best amount of fluid to give critically ill children in the earliest stages of care.\nWe are designing a clinical trial (called Fluids in Shock – FiSh) to find out whether giving less fluid bolus therapy to children with symptoms of a severe infection (septic shock) is better than giving a higher amount of fluid, as currently recommended.\n\nWe would like to interview 15-25 parents/legal representatives whose children have been admitted to hospital and treated for severe infection in the last three years. Parents/Legal representatives will be identified via UK emergency departments, paediatric intensive care units and online support groups/social media.\nDuring interviews, we will review and explore: acceptability of the FiSh Trial; potential barriers to recruitment and potential solutions; patient and parent information (including patient information sheets, leaflets and posters); decision-making and research without prior consent (deferred consent); and potential patient-centred outcome measures (e.g. what outcomes would be important to parents/legal representatives of children with severe infection?).\n\nBy speaking to parents/legal representatives, we hope to find out whether the trial is possible and, if so, how it should be done.\n

  • REC name

    North West - Liverpool Central Research Ethics Committee

  • REC reference

    15/NW/0913

  • Date of REC Opinion

    15 Dec 2015

  • REC opinion

    Further Information Favourable Opinion