Please select the eligibility criteria that correspond to the clinical trial below.
Title: Superior Venous Access, Midline vs Ultrasound IVs: A Randomized Clinical Trial
Brief Summary: Obtaining intravenous access (IVA) is the most common procedure performed in the emergency department (ED). Placement of IVA allows for blood work and delivery of intravenous fluids and medications. The implementation of ultrasound guided peripheral IVs (UGPIV) have allowed for ultrasound to be used to place an IV into patients with difficult vein access (DVA). An alternative device to place is a midline catheter (MC). The use of MCs against UGPIV has not been compared in a randomized study. Aim 1: To determine if UGPIVs have a higher failure rate than midline catheters within 72 hours of placement. Aim 2: To collect information to perform a direct cost analysis of UGPIV against that of the midline catheter. Aim 3: Assess patient satisfaction.


Options:
A: Inclusion Criteria:

* Women age \> 18
* Documented breast cancer
* No Her2 overexpression
* Patients operated with curative intent (no distant metastasis at diagnosis)
* Patients undergoing an adjuvant chemotherapy consisting of 3 courses of FEC 100 (5-fluorouracil, epirubicin 100mg/m² and cyclophosphamide ) followed by 3 courses of Taxotere, or 6FEC100 (according to CHB refencial for localised breast cancer treatment).
* Signed informed consent

Exclusion Criteria:

* Bilateral axillary node dissection
* History of bilateral upper thoracic irradiation
* Cutaneous disease (eczema, scleroderma, infection...) at catheter insertion site (arm or upper thorax)
* Recent thrombosis of the upper body
* Therapeutic anticoagulation
* Tracheotomy
* Treatment for bacteriemia in process
* Altered hemostasis: INR \> 1.5 ; APTT \> 1.5 , platelets \< 60 G/l
* Renal failure with creatinine clearance \< 60mL/min
* Involvement in another trial
* Contraindication to chemotherapy by FEC 100 or taxotere
* Pregnancy or breast feeding
* Protected major patient (under guardianship).
* Psychosocial disorders : decompensated mental disorders, no social security coverage, patient who does not speak french
B: Inclusion Criteria:

* The patients included were those who were hospitalized in the Internal Medicine Service of the Consorcio Hospital General Universitario de Valencia who needed intravenous therapy and who had signed the Informed Consent for placement of a midline at the time of the change of the PIVC placed in the emergency unit.

Exclusion Criteria:

* Those with a forecast hospitalization of less than one week, those who were receiving palliative or symptomatic treatment, those who were carriers of a CVC or those who had presented difficulty in venous access with midline after two consecutive attempts were excluded
C: Inclusion Criteria:

* Patient at least 18 years of age being treated in the emergency department at Boston Medical Center
* Standard IVA cannot be obtained by two qualified ER staff
* Have an upper extremity (left or right arm) that can accept a deep venous IV
* Clinical team believes the patient is likely to require inpatient admission at time of needing IV access
* English speaking
* Able to provide consent

Exclusion Criteria:

* Patient expected to be discharged from the emergency department or discharged from the hospital within 1 nights stay.
* Prisoner
* Pregnancy
* Requires central line or midline catheter as an expected requirement of care
* Patients who are expected to require medication that is not approved for administration via a peripherally guided IV or midline as defined by hospital pharmacy guidelines.
* Patients known to have bacteremia or have a high suspicion of bacteremia
* The patient is known or is suspected to be allergic to materials contained in the device
D: Inclusion Criteria:

* All patients requiring pre-operative IV

Exclusion Criteria:

* Emergency Surgery, patient refusal, non-english speaking (USGPIV modality available to them but time restrictive to consent for study), pediatrics

Answer: C