Great Question!! I would also like to hear the rationale for this.
Not all contrast media is a vesicant agent but some certainly is. Lynn
At 5:28 PM -0500 3/7/06, Cindy Schrum CRNI wrote:
Why is it ok to power inject a vesicant when it's not ok to infuse a
vesicant through a midline? Somebody needs to help me with this one!
Cindy Schrum RN CRNI
IVTeam Coordinator
Gaston Memorial Hospital
Gastonia, North Carolina
(704) 834-2707
"Richard Pearson" <[EMAIL PROTECTED]> 3/7/2006 3:43 PM >>>
At our hospital the IR docs now do all PICC lines. There are still a
couple of us former PICC nurses who occasionally place midlines
since it doesnt require a trip to radiology. We do occasionally
place a 'power' midline by using a 5Fr single lumen power picc and
cutting it to midline length. I do the same procedure as if I was
placing a PICC except that I cut the power picc at the 20 cm mark
prior to insertion. You have to pull back the stiffening stylet so
you arent trying to cut that as well and then it sticks out and
creates problems with maintaing a sterile field. Last time I took
the stiffening stylet clear out and that worked better. I then
insert it to the 5 cm mark, so 15 cm is in the patient. After I am
done I use a sharpie marker to mark 'midline' on the dressing and on
the skin, otherwise people will assume it is a PICC instead of a
midline. Then they can use this for CT contrast if needed. It
works fine, but of course you have the limitations of a mid!
line--no good for vancomycin, TPN, etc.
Rich Pearson RN MS CCRN
Clinical Nurse Specialist
Intensive/Post Intensive Care
Alegent Health-Immanuel Medical Center
Omaha, Nebraska
402-572-3433
"julie bryant" <[EMAIL PROTECTED]> 3/7/2006 12:30 PM >>>
We have always used single lumen 4fr cathteters for Midline
insertions at my facility.
Are there any contraindications to using a 5FR single lumen Midline?
Contemplating using the single lumen 5fr power PICC and cutting for Midline.
Thank you.
Julie
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