{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T14:55:11Z","timestamp":1782226511120,"version":"3.54.5"},"reference-count":39,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T00:00:00Z","timestamp":1765065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with difficult intravenous (IV) access in emergency departments (EDs) often require invasive vascular access techniques, including ultrasound-guided peripheral intravenous catheters (USGIVs), mini-midline catheters (MMCs), and central venous catheters (CVCs). Although prior research has explored the safety and survival time of these vascular access devices (VADs), there is little available literature in comparing their procedural duration and clinical utility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective observational study was conducted to evaluate the procedural duration, catheter utilization, and survival time of USGIV, MMC, and CVC insertion in the ED of a Level 1 Trauma Center. Procedural duration was measured using direct time-motion observations. Catheter utilization was assessed through prospective chart reviews. Statistical comparisons were performed using primarily the Wilcoxon Rank Sum Test and descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 51 successful VAD insertions were observed: 13 USGIVs, 18 MMCs, and 20 CVCs. The mean total procedural duration (minutes) of CVCs was significantly longer than both USGIVs (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001, 95% Confidence Interval (CI) of the difference 15.45\u201326.94) and MMCs (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001, 95% CI of the difference 8.13\u201321.85), while no significant difference was found between MMCs and USGIVs (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.085, 95% CI of the difference \u22120.38 to 12.90). Median catheter survival with early outliers removed was 2.5\u2009days for USGIVs, 4.9\u2009days for MMCs, and 5.2\u2009days for CVCs. The mean number of IV medications infused within 24\u2009h was 1.3 (Standard Deviation (SD) 1.5) for USGIVs, 5.3 (SD 3.7) for MMCs, and 7.3 (SD 3.2) for CVCs. The mean number of blood draws within 24\u2009h was 3.8 (SD 2.3) for USGIVs, 5.8 (SD 3.2) for MMCs, and 7.2 (SD 2.3) for CVCs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These findings suggest that MMCs required less time to place than CVCs in the ED setting while also demonstrating expanded clinical functionality and longevity compared to USGIVs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298251395137","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T06:14:14Z","timestamp":1765174454000},"page":"1273-1282","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of procedural duration among ultrasound-guided IVs, mini-midline catheters, and central venous catheters inserted in the emergency department"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0944-792X","authenticated-orcid":false,"given":"Evan J","family":"Schaefer","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Albany Medical College, Albany, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Bracey","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Albany Medical College, Albany, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nima","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"Department of Industrial and Systems Engineering, Rensselaer Polytechnic Institute, Troy, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmyn","family":"Brecheisen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Albany Medical College, Albany, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maaham","family":"Rehman","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Albany Medical College, Albany, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew K","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Albany Medical College, Albany, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashar","family":"Ata","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Albany Medical College, Albany, NY, USA"},{"name":"Department of Surgery, Albany Medical College, Albany, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J","family":"Waxman","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Albany Medical College, Albany, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.2003.010421"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-8579(09)70565-5"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.4065\/81.9.1159"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2007.06.017"},{"key":"e_1_3_2_6_2","volume-title":"Ultrasound-guided intravenous access","author":"Presley B","year":"2024","unstructured":"Presley B, Isenberg JD. 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Pressure injectable arrowg+ard Blue Plus\u00c2\u00ae three-lumen CVC https:\/\/us.myteleflex.com\/en\/USD\/All-Categories\/Vascular\/Central-Venous-Catheter\/Acute-CVC\/Pressure-Injectable-Arrowg%2Bard-Blue-Plus%C2%AE-Three-Lumen-CVC\/p\/CDC-45703-XP1A (2024 accessed 10 October 2024)."},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/aas.13516"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_2_36_2","volume-title":"R: a language and environment for statistical computing","author":"R Core Team","year":"2024","unstructured":"R Core Team. R: a language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing, 2024."},{"key":"e_1_3_2_37_2","unstructured":"Kassambara A Kosinski M Biecek P et al. 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