[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"difficult-intravenous-access\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:difficult-intravenous-access":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,3,0,[8,48,85],{"id":9,"slug":4,"hasResults":10,"nctId":11,"briefTitle":12,"officialTitle":13,"acronym":4,"eligibilityCriteria":14,"healthyVolunteers":15,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":29,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":47},"100628275",false,"NCT07459517","Effect of a Musical-Moving Toy Used During Difficult Peripheral Intravenous Catheterization on Children's Fear Level and Procedure Success","Effect of a Musical-Moving Toy Used During Difficult Peripheral Intravenous Catheterization on Children's Fear Level and Procedure Success: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Children aged 4-6 years\n* Children requiring peripheral intravenous catheterization in the pediatric emergency department\n* Children with a Difficult Intravenous Access (DIVA) score ≥4\n* Children whose parents or legal guardians provide informed consent for participation\n\nExclusion Criteria:\n\n* Children with cognitive or developmental disorders that may interfere with fear assessment\n* Children with visual or hearing impairments preventing interaction with the distraction toy\n* Children who require urgent or life-saving interventions\n* Children whose parents decline participation in the study",true,"ALL","4 Years","6 Years",{"count":20,"type":21},70,"ESTIMATED","INTERVENTIONAL",[24],"NA","Peripheral intravenous catheterization (PIVC) is a frequently performed invasive procedure in pediatric emergency departments and is often associated with fear and distress in children. Children with difficult intravenous access (DIVA) may require multiple attempts for successful catheterization, which can increase fear, anxiety, and procedure time. Non-pharmacological distraction techniques are commonly used to reduce procedural distress in children.\n\nThis randomized controlled study aims to evaluate the effect of a musical-moving toy used as a distraction method during peripheral intravenous catheterization on children's fear levels, procedure success, and procedure duration. The study will be conducted in the pediatric emergency department of Antalya City Hospital in Türkiye.\n\nChildren aged 4-6 years with difficult intravenous access will be randomly assigned to either an intervention group or a control group. In the intervention group, a musical-moving toy will be used during the catheterization procedure to distract the child, while the control group will receive standard care without the toy.\n\nFear levels will be measured using the Children's Fear Scale. Procedure success will be evaluated by the number of attempts required to successfully insert the catheter, and procedure duration will be recorded using a stopwatch.\n\nThe findings of this study may contribute to improving pediatric procedural care by providing an effective, low-cost, and easily applicable distraction method during intravenous catheterization.",[27,28],"Procedural Fear in Children","Difficult Intravenous Access",[30,28,31,32,33,34],"Peripheral Intravenous Catheterization","Pediatric Emergency","Distraction Technique","Children's Fear Scale","Randomized Controlled Trial","RECRUITING","2026-03-08",{"date":38,"type":39},"2026-03-10","ACTUAL",{"date":41,"type":21},"2026-03-15",{"date":43,"type":21},"2026-06",{"name":45,"class":46},"Akdeniz University","OTHER",1,{"id":49,"slug":50,"hasResults":10,"nctId":51,"briefTitle":52,"officialTitle":53,"acronym":4,"eligibilityCriteria":54,"healthyVolunteers":10,"sex":16,"minAge":55,"maxAge":4,"enrollmentInfo":56,"targetDuration":4,"studyType":22,"phases":58,"briefSummary":59,"conditions":60,"keywords":64,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":76,"lastUpdatePostDateStruct":77,"startDateStruct":79,"completionDateStruct":81,"leadSponsor":83,"locationsCount":47},"100567482","single-lumen-midline-catheter-vs-long-peripheral-intravenous-cather-for-difficult-intravenous-access-in-the-ed-100567482","NCT06668766","Single Lumen Midline Catheter vs Long Peripheral Intravenous Cather for Difficult Intravenous Access in the ED","Superior Ultrasound-Guided Venous Access: Single-Lumen Midline Catheters vs Long Peripheral IVs for Difficult IV Access in the Emergency Department, A Randomized Controlled Trial","Inclusion Criteria:\n\n* Adult (age 18 and older) patients presenting to the AMC ED with difficult IV access defined as any of the following:\n\n  * Two failed attempts at landmark based IV or US-guided peripheral vascular access by qualified ED staff\n  * Self-reported history of difficult IV access and one of the following:\n\n    * History of requiring 2 or more IV attempts on a previous visit (either self-reported or documented in the electronic medical record)\n    * Previous requirement for a rescue device after failed IV access attempt. These devices are as follows:\n* US guided PIV\n* Midline catheter\n* Peripherally inserted central catheter\n* Central venous catheter\n* Intraosseous catheter\n* History of or active comorbid disease state with known difficult IV access\n* Prior or current implanted port device\n* End stage renal disease with fistula\n* Sickle cell disease\n* History of or active intravenous drug use\n\nExclusion Criteria:\n\n* Patients under the age of 18\n* Known Prisoners\n* Non-English-speaking patients\n* 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.)\n* Patients lacking capacity to consent\n* Patients unable to sign written consent\n* Patients without identifiable target veins by ultrasonography\n* Known pregnant patients\n* Previously enrolled in this study\n* Previously withdrawn from this study\n* Presented when no study IV proceduralists are available\n* Patients in whom obtaining informed consent and being enrolled in the study would put them at risk for obtaining time sensitive medical care","18 Years",{"count":57,"type":21},270,[24],"Many patients in the emergency department have veins that are difficult to get an intrevenous (IV) catheter into (called \"difficult IV access\"). These patients may require other methods to obtain access to a vein for administration of the necessary medications. The 2-inch long IV is most commonly used in emergency departments for people with difficulty IV access. Typically, a healthcare worker will use an ultrasound to help to see the veins underneath the skin while inserting the IV into the vein. That is, the ultrasound helps the healthcare worker visualize veins that are deeper in the arm and may not be felt through the skin. Another device that can be used is a 4-inch midline catheter. This device is less commonly used as many emergency departments do not have participants available, but it serves the same purpose as the 2-inch long IVs (that is, to give medicine into the vein and sometimes to take blood). A 4-inch midline catheter is similar to a 2-inch long IV, but has a few differences. First, the 4-inch midline catheter is even longer than the 2-inch long IV. The 4-inch midline catheter is 10-cm (about 4-inches or the size of 4 quarters side-by-side), while the 2-inch long IV is 4.78-cm (nearly 2-inches or two quarters side-by-side). Second, the 4-inch midline catheter is inserted into using a guidewire to help move the catheter in the vein (similar in concept to a train moving along a track), while the 2-inch long IV does not have this guidewire. The guidewire does not hurt and most do not know it is being used. It is just an additional step to help guide the catheter in the vein. The investigators are conducting this research study to determine which catheter is better for patients with difficult IV access: the 4-inch midline catheter or the 2-inch long IV.",[28,61,62,63],"Midline Catheter","Peripheral Intravenous Catheter","Emergency Department Patient",[65,66,67,68,69,70,71,72,73,74,75],"midline catheter","difficult intravenous access","difficult IV access","USGIV","long peripheral IV","peripheral IV","peripheral intravenous catheter","Emergency department","emergency medicine","single lumen midline catheter","long peripheral intravenous catheter","2026-01-16",{"date":78,"type":39},"2026-01-20",{"date":80,"type":39},"2025-01-01",{"date":82,"type":21},"2027-10-21",{"name":84,"class":46},"Albany Medical College",{"id":86,"slug":87,"hasResults":10,"nctId":88,"briefTitle":89,"officialTitle":90,"acronym":91,"eligibilityCriteria":92,"healthyVolunteers":10,"sex":16,"minAge":55,"maxAge":4,"enrollmentInfo":93,"targetDuration":4,"studyType":22,"phases":95,"briefSummary":96,"conditions":97,"keywords":99,"overallStatus":105,"whyStopped":4,"lastUpdateSubmitDate":106,"lastUpdatePostDateStruct":107,"startDateStruct":109,"completionDateStruct":111,"leadSponsor":113,"locationsCount":47},"100593351","ultra-long-peripheral-catheter-versus-accelerated-seldinger-technique-long-peripheral-catheter-in-difficult-iv-access-patients-100593351","NCT07005310","Ultra-Long Peripheral Catheter Versus Accelerated Seldinger Technique Long Peripheral Catheter in Difficult IV Access Patients","Ultra Long Peripheral Catheter Versus Accelerated Seldinger Technique Long Peripheral Catheter in Difficult Intravenous Access Patients: a Pragmatic Randomised Controlled Trial","ULAST","Inclusion Criteria:\n\n* Adult inpatients with DIVA, requiring placement of a long peripheral catheter, will be included in the study.\n* A digital request form for venous access must be completed by the treating physician at the ward.\n* Patients must be proficient in either Dutch or French\n* Patients must have decision-making capacity or be represented by a legal representative.\n\nExclusion Criteria:\n\n* Expected therapy duration of less than 24 hours\n* pregnancy\n* Need for central venous access\n* Inability to locate a deep peripheral vein in the upper extremity prior enrollment in the study\n* Veins located deeper than 1.6cm prior enrollment in the study\n* withdrawal of consent, or presentation at a time when study personnel are unavailable.",{"count":94,"type":21},100,[24],"The aim of this study is to perform a comparative analysis of clinical outcomes associated with the use of an ultra-long peripheral catheter using (catheter-over-the-needle technique) versus an AST-long peripheral catheter in adult patients with difficult intravenous access (DIVA) in a real-world clinical setting. Specifically, the study will assess potential benefits, including longer mean catheter dwell time and improved catheter usability, as well as potential harms, such as increased incidence of catheter-related thrombosis, infections, phlebitis, infiltration, and unplanned catheter removal.",[28,98],"Adults",[100,101,102,103,104],"Long peripheral catheter","Accelerated seldinger technique","Pragmatic randomized controlled trial","Dwell time","complications","NOT_YET_RECRUITING","2025-06-02",{"date":108,"type":39},"2025-06-05",{"date":110,"type":21},"2025-07-01",{"date":112,"type":21},"2026-04-30",{"name":114,"class":46},"University Ghent"]