I too agree with all. Dual lumen midlines should be ommitted from practice. I would rather place 2 single lumen midlines Bob
>>> "Lynn Hadaway" <[EMAIL PROTECTED]> 2/4/2006 7:51:01 AM >>> 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 >> >> >> ________________________________ >> Brings words and photos together (easily) with >> PhotoMail - it's free and works with Yahoo! Mail. >> >> -- 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
