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Bigger IV, same pain? new study challenges old belief
NCT ID NCT07629427
First seen Jun 27, 2026 · Last updated Aug 06, 2026 · Updated 2 times
Summary
This study compares two sizes of IV cannulas (18-gauge vs 20-gauge) in emergency patients to see if the larger one causes more pain or is harder to insert. About 204 adults with low-to-moderate difficulty for IV access will be randomly assigned to one size. Patients will wear goggles so they don't know which size they get. The goal is to find out if the larger cannula, which can deliver fluids faster, is as comfortable as the smaller one.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- peripheral intravenous cannula (18-gauge or 20-gauge)
- What this could lead to
- If larger cannulas cause no more pain, emergency staff may use them more often, improving care for patients who need fast fluids or contrast.
- What could go wrong
- This is a small, single-center study. Results may not apply to all patients or settings. Pain is subjective and hard to measure precisely.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
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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204 people
The number who actually took part.
- Started
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Jul 2026
- Finished
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Aug 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
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * 18 years of age or older * Requiring intravenous access for diagnostic or therapeutic purposes * Classified as low or moderate risk according to the A-DIVA (Adult Difficult Intravenous Access) score * Provision of informed consent by the patient, a relative, or a legal guardian Exclusion Criteria: * Inability to effectively communicate pain intensity due to cognitive impairment, altered mental status, or visual or language difficulties * Hemodynamic instability defined as systolic blood pressure less than 90 mmHg or mean arterial pressure less than 65 mmHg
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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
-
Marmara University Pendik Training and Research Hospital
Istanbul, Turkey (Türkiye)
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