Nancy, We may put in 10-15 Midlines per month. Leaking at the insertion site is usually one of the signs of thrombus. The fluids are retrograding back down the pathway of the vein. We use MST/US, basilic or cephalic, about 1" above the AC.
I dont' use anything bigger than a 3fr (smallest catheter, largest vein). If you use a dual, you can only infuse meds that are Y-site compatible because the tip is not central. So I believe duals shouldn't be used. Tip should end at the axilla. No further for Midline placements. Hope this helps! Cindy Schrum CRNI On 2/3/06, Nancy Sullivan <[EMAIL PROTECTED]> wrote: > 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. > >
