Which IV works best for Hard-to-Stick patients? new study aims to find out
NCT ID NCT06668766
First seen Jun 27, 2026 · Last updated Aug 26, 2026 · Updated 2 times
Summary
This study looks at two types of IV catheters for emergency department patients whose veins are hard to access. One is a standard 2-inch long IV, and the other is a longer 4-inch midline catheter inserted with a guidewire. Researchers want to see which one lasts longer and causes fewer problems. About 270 adults with difficult IV access will take part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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270 people
The number who actually took part.
- Started
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Jan 2025
- Finished
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Mar 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult (age 18 and older) patients presenting to the AMC ED with difficult IV access defined as any of the following: * Two failed attempts at landmark based IV or US-guided peripheral vascular access by qualified ED staff * Self-reported history of difficult IV access and one of the following: * History of requiring 2 or more IV attempts on a previous visit (either self-reported or documented in the electronic medical record) * Previous requirement for a rescue device after failed IV access attempt. These devices are as follows: * US guided PIV * Midline catheter * Peripherally inserted central catheter * Central venous catheter * Intraosseous catheter * History of or active comorbid disease state with known difficult IV access * Prior or current implanted port device * End stage renal disease with fistula * Sickle cell disease * History of or active intravenous drug use Exclusion Criteria: * Patients under the age of 18 * Known Prisoners * Non-English-speaking patients * Patients in whom the device cannot be stabilized due to tissue or treatments in bilateral extremities or available extremity (burns, complex humeral fractures, dialysis fistulas etc.) * Patients lacking capacity to consent * Patients unable to sign written consent * Patients without identifiable target veins by ultrasonography * Known pregnant patients * Previously enrolled in this study * Previously withdrawn from this study * Presented when no study IV proceduralists are available * Patients in whom obtaining informed consent and being enrolled in the study would put them at risk for obtaining time sensitive medical care
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Albany Medical Center Hospital
Albany, New York, 12054, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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