Nancy,
It happens occasionally to me also. But, it can also happen with PICC lines.
The catheter is has developed a fibrin sheath. The sheath completely covers
the catheter. The fluid runs through the catheter and into the sheath and with
no where to go it comes back down the cathter. At least this is my deduction
from many years of experiencing this phenomenon. I use to think it was me or
my technique, then maybe the catheter. But, I have found that it can happen to
any nurse and any brand of cathter. With PICCs and Midlines.
A study would be great but, I could not perform the study due to lack of
resources. My lines are placed mainly in the external settings and can not
afford to send the resident to IR for a Dye study. But, I believe that this is
what is occuring with your catheters as well. I now use the Groshong 4Fr
single PICC but, previously used the V-Cath as well and both cathteters can
have this happen. I can tell you that when you take the line out nothing will
be on the catheter. And after inserting another catheter some patients will
continue to develope these sheaths. Some do not. Without a study of the
patients labs, medications, and previos history I am afraid an answer is not
forthcoming as to what patient will or will not develop these sheaths.
I have ask many experts and catheter reps and no one seems to have the answers.
Actually most think it is the fault of the inserting nurse and their
technique. I believe it is with the patient and their physiology.
Just my two cents.
Randy
--
Randy Ross R.N., B.S.N.
IV Nurse Consultant,
President & C.E.O.
IV's Etc... LLC
Vascular Access
& Consulting
Ph: 317-541-6463
Fax: 317-894-7709
Email: [EMAIL PROTECTED]
Website: www.IVsEtc.com
-------------- Original message ----------------------
From: "Nancy Sullivan" <[EMAIL PROTECTED]>
> Here goes some question about Midline.
> My hospital IV team (that I am on) has stopped putting in midlines because
> we
> were experiencing leaking at the insertion site.
> Is any one else experiencing this problem.
> Also, Do you place them in the ac or upper arm?
> Do you use MST and or ultrasound to place a midline?
> Where is the tip if you use the upper arm?
> We use Bard 4fr groshong ad 5fr dual per q cath midlines, that is if we
> happen
> to put one in.
> Thanks
> Nancy
>
>
>
> ---------------------------------
> Brings words and photos together (easily) with
> PhotoMail - it's free and works with Yahoo! Mail.
--- Begin Message ---
Here goes some question about Midline.
My hospital IV team (that I am on) has stopped putting in midlines because we were experiencing leaking at the insertion site.
Is any one else experiencing this problem.
Also, Do you place them in the ac or upper arm?
Do you use MST and or ultrasound to place a midline?
Where is the tip if you use the upper arm?
We use Bard 4fr groshong ad 5fr dual per q cath midlines, that is if we happen to put one in.
Thanks
Nancy
Brings words and photos together (easily) with
PhotoMail - it's free and works with Yahoo! Mail.
--- End Message ---
