From: [EMAIL PROTECTED]
To: "Cindy Schrum" <[EMAIL PROTECTED]>
Subject: Re: Midlines
Date: Sat, 04 Feb 2006 21:40:43 +0000
Cindy--can you elaborate on the statement you made which I have highlighted in RED below--I would have thought that a dual lumen catheter regardless of which vein it is in would separate incompatible infusates--we in fact have used an ARROW Twin-Cath product to successfully do this for years--Thanks--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia-------------- Original message --------------
From: "Cindy Schrum" <[EMAIL PROTECTED]>
> 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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