Single-Lumen Midline Catheter vs Ultrasound-Guided Peripheral IV by ED Nurses

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In ED patients with difficult IV access, two ultrasound-guided vascular options are commonly used: long peripheral IVs and single-lumen midline catheters. This interventional study compares these devices when placed by bedside emergency department nurses at Albany Medical Center. The goal is to determine which approach yields reliable IV access with fewer insertion attempts and delays to treatment. Eligible adults present to the Albany ED and meet DIVA criteria, such as prior failed attempts or comorbid conditions. Outcomes focus on successful cannulation, time to access, and device dwell characteristics, with BD&C as a collaborator to support device use and data collection.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Adults 18 years of age or older
* Presenting to the Albany Medical Center Emergency Department
* Require intravenous access
* Have difficult intravenous access (DIVA) defined by at least one of the following:
* Two failed attempts at landmark-based or ultrasound-guided peripheral vascular access performed by qualified emergency department staff
* A history of or active comorbid condition associated with difficult intravenous access, including:
* Implanted vascular access port (current or previous)
* End-stage renal disease with dialysis fistula
* Sickle cell disease
* Current or previous intravenous drug use
* Self-reported difficult intravenous access plus one of the following:
* A history of requiring two or more IV attempts during a previous healthcare encounter (self-reported or documented in the medical record)
* A previous requirement for a rescue vascular access device after failed IV access, including:
* Ultrasound-guided peripheral IV
* Midline catheter
* Peripherally inserted central catheter (PICC)
* Central venous catheter (CVC)
* Intraosseous catheter

Exclusion Criteria:

* Younger than 18 years of age
* Prisoners
* Non-English-proficient patients
* Patients in whom the device cannot be adequately stabilized because of tissue injury or treatment involving the available extremities (including burns, complex humeral fractures, or dialysis fistulas)
* Patients who lack the capacity to provide informed consent and do not have an authorized legal representative available
* Patients without an identifiable target vein on ultrasonography
* Patients known to be pregnant
* Previous enrollment in the study
* Previous withdrawal from the study
* Presentation during a period when no study proceduralists are available
* Patients for whom the informed consent and enrollment process could delay time-sensitive medical care

Where it's running

• Albany Medical Center Hospital
  Albany, New York, United States Recruiting

Study contacts

• Study coordinator: Alexander Bracey, MD
• Email: braceya@amc.edu
• Phone: 518-262-6328

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.