I would agree with Cindy. We place approx 50 midline per month and find leaking when an inappropriate drug has been administered thru the midline. It may not be thrombus yet (it will become thrombus if the inappropriate drug is continued) it may be simple inflammation cause by a caustic med with the fluid retrograde.
Bob >>> "Cindy Schrum" <[EMAIL PROTECTED]> 2/4/2006 6:15:06 AM >>> 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. > >
