Midlines: Difference between revisions
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**Shorter ones last better than ultrasound guided peripheral IVs. | **Shorter ones last better than ultrasound guided peripheral IVs. | ||
**Longer ones can run pressors. <ref>The Utility of Midline Intravenous Catheters in Critically Ill Emergency Department Patients Spiegel, Rory J. et al. Annals of Emergency Medicine, Volume 0, Issue 0 https://www.annemergmed.com/article/S0196-0644(19)31236-3/fulltext</ref> and has less complications than central lines. | **Longer ones can run pressors. <ref>The Utility of Midline Intravenous Catheters in Critically Ill Emergency Department Patients Spiegel, Rory J. et al. Annals of Emergency Medicine, Volume 0, Issue 0 https://www.annemergmed.com/article/S0196-0644(19)31236-3/fulltext</ref> and has less complications than central lines. | ||
*Because they terminate at axilla, are peripheral access, not a [[central venous catheter]] | *Because they terminate at axilla, are peripheral access, not a [[central venous catheter]]. | ||
==Indications== | ==Indications== | ||
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==Procedure== | ==Procedure== | ||
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*Medications that cannot be run through midlines: | *Medications that cannot be run through midlines: | ||
**Chemotherapy | **Chemotherapy | ||
** | **Total parenteral nutrition | ||
*Length of use: typically 2-7 days, but institution dependent | *Length of use: typically 2-7 days, but institution dependent | ||
Revision as of 15:09, 29 March 2020
Overview
- Length: 8-25 cm, inserted through upper arm veins, terminates at axilla.
- Shorter ones last better than ultrasound guided peripheral IVs.
- Longer ones can run pressors. [1] and has less complications than central lines.
- Because they terminate at axilla, are peripheral access, not a central venous catheter.
Indications
- Unable to establish standard peripheral IV
- Concern for IV dislodging
- Longer term IV access
Contraindications
Equipment Needed
Procedure
Complications
Usage
- Medications that cannot be run through midlines:
- Chemotherapy
- Total parenteral nutrition
- Length of use: typically 2-7 days, but institution dependent
See Also
External Links
- Scott Weingart. EMCrit 262 – Midlines – Part 1. EMCrit Blog. Published on December 27, 2019. Accessed on December 28th 2019. Available at https://emcrit.org/emcrit/midlines-1/
- Short and extended videos of 20 cm midline placement
References
- ↑ The Utility of Midline Intravenous Catheters in Critically Ill Emergency Department Patients Spiegel, Rory J. et al. Annals of Emergency Medicine, Volume 0, Issue 0 https://www.annemergmed.com/article/S0196-0644(19)31236-3/fulltext