I share your concern about dual lumen midlines as I am not aware of
any clinical studies using them. Midline tip location is always level
with the axilla and never extends into the shoulder area, regardless
of the insertion site. Midlines also require a careful assessment of
the pH and osmolarity of solutions which should be the same as any
other peripheral catheter. Midlines can replace multiple peripheral
catheters for some patients but they are never a replacement for a
central line. Lynn
At 8:15 AM -0500 2/4/06, Cindy Schrum wrote:
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
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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
