Re: Midlines

[Leigh Ann Bowe-geddes]

Robbin: Cindy's point is that the tip is not central, therefore the blood flow is inadequate dilution for incompatible meds. Leigh Ann   Leigh Ann Bowe-Geddes, RN, CRNI IV Therapy Specialist Infusion Services Department University of Louisville Hospital Louisville, KY 502-562-3530 >>> <[EMAIL PROTECTED]> 02/04/06 4:42 PM >>> 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 > > > > > > ________________________________ > > Brings words and photos together (easily) with > > PhotoMail - it's free and works with Yahoo! Mail. > > > > > > ----------------------------------------------------- Confidentiality Disclaimer This message, including any attachments, is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law, including PHI (Protected Health Information) covered under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.  If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited.  If you receive this message in error, or are not the named recipient(s), please notify the sender or contact the University of Louisville Health Care I.S. helpdesk at 502.562.3637 to report an inadvertently received message. -----------------------------------------------------