[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"ultrasound-assistance\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:ultrasound-assistance":31},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,59],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":36,"overallStatus":46,"whyStopped":4,"lastUpdateSubmitDate":47,"lastUpdatePostDateStruct":48,"startDateStruct":51,"completionDateStruct":53,"leadSponsor":55,"locationsCount":58},"100652838","single-lumen-midline-catheter-vs-ultrasound-guided-peripheral-iv-as-performed-by-bedside-emergency-department-registered-nurses-100652838",false,"NCT07779317","Single Lumen Midline Catheter vs Ultrasound Guided Peripheral IV as Performed by Bedside Emergency Department Registered Nurses","Superior Venous Access: Single Lumen Midline Catheter vs Ultrasound Guided Peripheral IV as Performed by Bedside Emergency Department Registered Nurses, A Randomized Clinical Trial","SUMMIT","Inclusion Criteria:\n\n* Adults 18 years of age or older\n* Presenting to the Albany Medical Center Emergency Department\n* Require intravenous access\n* Have difficult intravenous access (DIVA) defined by at least one of the following:\n* Two failed attempts at landmark-based or ultrasound-guided peripheral vascular access performed by qualified emergency department staff\n* A history of or active comorbid condition associated with difficult intravenous access, including:\n* Implanted vascular access port (current or previous)\n* End-stage renal disease with dialysis fistula\n* Sickle cell disease\n* Current or previous intravenous drug use\n* Self-reported difficult intravenous access plus one of the following:\n* A history of requiring two or more IV attempts during a previous healthcare encounter (self-reported or documented in the medical record)\n* A previous requirement for a rescue vascular access device after failed IV access, including:\n* Ultrasound-guided peripheral IV\n* Midline catheter\n* Peripherally inserted central catheter (PICC)\n* Central venous catheter (CVC)\n* Intraosseous catheter\n\nExclusion Criteria:\n\n* Younger than 18 years of age\n* Prisoners\n* Non-English-proficient patients\n* 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)\n* Patients who lack the capacity to provide informed consent and do not have an authorized legal representative available\n* Patients without an identifiable target vein on ultrasonography\n* Patients known to be pregnant\n* Previous enrollment in the study\n* Previous withdrawal from the study\n* Presentation during a period when no study proceduralists are available\n* Patients for whom the informed consent and enrollment process could delay time-sensitive medical care","ALL","18 Years",{"count":20,"type":21},292,"ESTIMATED","INTERVENTIONAL",[24],"NA","Obtaining intravenous (IV) access is one of the most common procedures performed in the emergency department (ED). IV access is necessary for many aspects of patient care, including blood tests, administration of medications and intravenous fluids, and diagnostic imaging. However, some patients have difficult intravenous access (DIVA), making it challenging to successfully place an IV catheter. Difficulty obtaining IV access can lead to delays in diagnosis and treatment, prolonged emergency department stays, multiple needle punctures, and increased patient discomfort.\n\nSeveral specialized IV devices are available for patients with DIVA. Two commonly used ultrasound-guided devices are long peripheral intravenous catheters and single-lumen midline catheters. Both devices are inserted into veins using ultrasound guidance, but they differ in catheter length and expected duration of use. Long peripheral IV catheters are commonly used in emergency departments but may fail relatively quickly. Midline catheters may remain functional for longer periods and may reduce the need for additional IV insertions during a patient's hospital stay. However, these devices have traditionally been inserted by specialized clinicians, such as members of vascular access teams, rather than by bedside emergency department nurses, who perform most vascular access procedures in many emergency departments.\n\nThe purpose of this study is to compare ultrasound-guided single-lumen midline catheters with ultrasound-guided long peripheral IV catheters when both procedures are performed by specially trained bedside emergency department nurses. The study will evaluate whether midline catheters can be inserted as successfully and as safely as long peripheral IV catheters in adult emergency department patients with difficult intravenous access.\n\nParticipants will be randomly assigned to receive either an ultrasound-guided single-lumen midline catheter or an ultrasound-guided long peripheral IV catheter. Researchers will compare the two devices by measuring procedural success, catheter-related complications, catheter dwell time, completion of care using the original device, and patient satisfaction.\n\nThe results of this study may help determine whether bedside emergency department nurses with training and experience in ultrasound-guided vascular access can successfully use single-lumen midline catheters in routine clinical practice. The study will also evaluate which vascular access device provides the best balance of safety, reliability, and patient experience for emergency department patients with difficult intravenous access. This information may help guide future recommendations for vascular access device selection in the emergency department.",[27,28,29,30,31,32,33,34,35],"Difficult Vein Access","Emergency Department Patients","Nurses Role","Midline Catheter","Ultrasound Assistance","Difficult Intravenous Access","Catheterization, Peripheral","Catheterization","Emergency Service, Hospital",[37,38,30,39,40,41,42,43,44,45],"DIVA","Ultrasound-Guided Vascular Access","Single-Lumen Midline Catheter","Long Peripheral Intravenous Catheter","Ultrasound-Guided Peripheral Intravenous Catheter","Emergency Department Nursing","Emergency Nursing","Vascular Access Device","Ultrasound-Guided Intravenous Access","RECRUITING","2026-08-18",{"date":49,"type":50},"2026-08-21","ACTUAL",{"date":52,"type":50},"2026-08-11",{"date":54,"type":21},"2027-03",{"name":56,"class":57},"Albany Medical College","OTHER",1,{"id":60,"slug":61,"hasResults":11,"nctId":62,"briefTitle":63,"officialTitle":63,"acronym":4,"eligibilityCriteria":64,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":65,"enrollmentInfo":66,"targetDuration":4,"studyType":22,"phases":68,"briefSummary":69,"conditions":70,"keywords":72,"overallStatus":76,"whyStopped":4,"lastUpdateSubmitDate":77,"lastUpdatePostDateStruct":78,"startDateStruct":80,"completionDateStruct":82,"leadSponsor":84,"locationsCount":4},"100613637","impact-of-ultrasound-guidance-on-central-neuraxial-block-success-in-patients-with-non-palpable-vertebral-anatomy-100613637","NCT07269184","Impact of Ultrasound Guidance on Central Neuraxial Block Success in Patients With Non-Palpable Vertebral Anatomy","Inclusion Criteria:\n\n* Scheduled for elective general surgery\n* Planned epidural catheterization\n* Aged 18-60 years\n* ASA physical status I-III\n* Spinous processes not palpable (class3)\n\nExclusion Criteria:\n\n* Contraindication to epidural catheterization\n* ASA physical status IV-V\n* Diagnosed with scoliosis\n* Presence of anatomical deformities\n* Declining to participate in the study\n* Patients for whom follow-up conditions cannot be ensured","60 Years",{"count":67,"type":21},60,[24],"Patients scheduled to undergo general surgery with planned epidural catheter placement will be evaluated by comparing two different techniques routinely used in anesthesia practice for catheter insertion.\n\nA total of 60 patients aged 18-60 years, classified as ASA I-III, and scheduled to undergo general surgical procedures with epidural catheter placement at Sakarya University Faculty of Medicine Training and Research Hospital will be included in the study. All patients will be classified according to the following palpation scoring system to assess the difficulty of vertebral palpation:\n\nPalpation Score: All patients will be evaluated in the sitting position, and the difficulty of palpating vertebral landmarks will be scored between 0 and 3:\n\n0: Spinous processes and interspinous spaces are clearly identifiable\n\n1. Spinous processes are palpable, but interspinous spaces are not clearly identifiable\n2. Spinous processes are not palpable, interspinous spaces are not identifiable, but the vertebral column can be palpated either on or off the midline\n3. Spinous processes and interspinous spaces are not palpable, and vertebral structures are not clearly distinguishable Patients with a palpation score of 3 will be included in the study group. Patients with a score of 0 will be included as the control group.\n\nPatients will be divided into two groups: Anatomical Landmark Group and Ultrasound Group.\n\nIn the Ultrasound Group, surface marking will be performed in the operating room using ultrasonography.\n\nIn the Anatomical Landmark Group, after the patient is positioned sitting in the operating room, the insertion site will be estimated by palpation of anatomical landmarks.\n\nAfter determining the needle entry point in both groups, epidural catheterization will be performed under sterile conditions according to our routine practice. The two groups will be compared in terms of first-attempt success rate, total procedure time, number of needle redirections, and complications occurring during the procedure.",[71,31],"Epidural Analgesia",[73,74,75],"epidural","ultrasound","non-palpable spinous processes","NOT_YET_RECRUITING","2025-12-05",{"date":79,"type":50},"2025-12-08",{"date":81,"type":21},"2025-12-01",{"date":83,"type":21},"2026-05-01",{"name":85,"class":57},"Sakarya University"]