Kelly,
Our experience has been the same. Have had some
minimal success with midlines in those patients in our long term facilities that
needed access for every other day hydration and slow rates (these sometimes last
up to 3 weeks). Everything else usually starts leaking at the site in a
week or under, which could mean the vein thrombosed off above the tip.
Also, they stop aspirating after 4-5 days.
Chris brings up an interesting point though - catheter
size. For midlines we are using 4fr silicone catheters with the tip
terminating just before the axillary vein.
Chris,
What size midline catheter are you
using?
Looks like a great subject for research - Midline
catheter size and/or material.
Timothy Royer, RN, BSN, CRNI
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly Murphy
Sent: Saturday, October 14, 2006 7:29 AM
To: Chris Cavanaugh; [EMAIL PROTECTED]
Subject: Re: Midline guidelines from AVA roundtable
This
is a little off the original subject, but I have not seen a midline that has
lasted the length of treatment yet. Just yesterday, a patient came to the
ED with a midline that was placed 2 weeks ago. It was leaking at the
insertion site. I spoke with ID and they said he needed 10 more days of IV
antibiotics and no, we couldn't change him to PO. Originally, I was talked
into the midline because they weren't sure if he needed 2-3 days or 2-3 weeks,
with the promise from both the MD and the PA that if the treatment lasted 2
weeks, the patient would be readmitted. Being the patient advocate I am, I
opted for a midline.
Long
story short, I ended up putting a PICC in him yesterday in the ED. This
just reconfirms my belief that midlines are relatively useless except maybe in
CMO cases. Almost every midline I've inserted for home care has
come back through the ED for replacement. Does anyone else feel the same
way or have the same experience?
Not trying to start an argument, just wondering if anyone else is having the same results with midlines as me.
Not trying to start an argument, just wondering if anyone else is having the same results with midlines as me.
-----
Original Message ----
From: Chris Cavanaugh <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Sent: Saturday, October 14, 2006 6:54:25 AM
Subject: Midline guidelines from AVA roundtable
From: Chris Cavanaugh <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Sent: Saturday, October 14, 2006 6:54:25 AM
Subject: Midline guidelines from AVA roundtable
For those who could not open the original document posted, here is one as a word document. Thanks
Chris Cavanaugh, CRNI
3606 Molona Dr.
Orlando, FL 32837
407-928-9297
