Study aim: Comparison of the effect of Acupressure and Buzzy on first insertion success and pain related insertion of intravenous catheter (Angiocath) in 3-6 year old children referred to the emergency department of Hakim Hospital of Neyshabour in2024 Design: 3-group randomized controlled trial with one control and two parallel intervention groups , involving 84 children (28 per group) matched by gender. Each child who presented for angiocatheter placement and met the study inclusion criteria was randomly assigned to one of the groups based on gender within each block. Randomization was performed using the Random Allocation software. Settings and conduct: Eligible children presenting to the emergency department of Hakim Neyshabour Hospital will be randomly assigned to either an intervention or control group. Acupressure : The Hugo point is compressed before insertion. Buzzy : The Buzzy is attached to the child's hand before insertion. Control : the angiocatheter is inserted routinely Participants/Inclusion and exclusion criteria: Inclusion criteria: Physician's order for catheter insertion; Age 3 to 6 years; Informed parental consent; First catheter insertion during this hospitalization Fully alert No pain Exclusion: Catheter insertion site other than the back of the hand Use of sedatives or topical or oral analgesics within 48 hours Bruising, inflammation, wound, or fracture at the catheter insertion site History of chemotherapy, dialysis Specific diseases (thyroid, epilepsy, vascular, diabetes, neurological, edema, blood, hearing, vision, movement) Intellectual disability or cerebral palsy Inability to communicate verbally Diagnosed mental or cognitive disorder Intervention groups: intervention consists of three groups: Acupressure : Pressing the Hugo point Buzzy : Attaching Buzzy on the child's hand Control : Routine insertion Main outcome variables: Venipuncture pain ; First insertion success