Table 2 Midline Catheter and PICC Care and Management Radiologic confirmation is not needed before useĬhest x-ray is needed to confirm placement, unless tip locator technology is used during insertion Used when longer lengths of intravenous therapy are neededĬANNOT administer certain medications ( Refer to Table 1) Used when intravenous therapies required for less than 30 days Peripherally Inserted Central Catheters (PICC)Ĭatheter tip is at or near axilla level and distal to the shoulderĬatheter tip is located in the lower segment of the superior vena cava
Source Advertisements Contraindications of peripherally inserted central catheters (PICC) Lowest incidence of complications compared to other devices.Administration of chemotherapy and parenteral nutrition therapies.Eliminate complications, such as pneumothorax and great vessel perforation associated with insertions in the neck and chest regions.Reduces stress and pain associated with multiple venipunctures.Administration of fluid, blood, medications in patients who do not have suitable veins for repeated access.Advertisements Advantages of peripherally inserted central catheters (PICC) Other uses of PICC are the same as midline catheters. Irritant therapies that over time can cause chemical phlebitis such as Vancomycin and Nafcillin.Certain therapies require a central line, such as TPN and chemotherapies.Indications for peripherally inserted central catheters (PICC) Peripherally inserted central catheters (PICCs)Īs the name stated, peripherally inserted central catheters (PICCs) are peripherally accessed central lines which are used for long term intravenous therapies and blood sampling. Accidental arterial puncture during insertion.Insertion related midline catheter complications are: Source What are the complications of midline catheter? For specific drugs not found on this list, refer to medication package inserts or contact the pharmacy. Just examples of common medications that should not be administered via midline catheters. *may be ok with short courses of therapy (not to exceed 3 days) with close monitoring.Īdvertisements ALSO, this is NOT an exhaustive list. List of common drugs that should be avoided in midline catheters Acyclovir Infusions that requires central line-only administration.Source Medications that CANNOT be administered via midline catheters Known or suspected infection, bacteremia, or septicemia related to the device.End-stage renal disease that requires peripheral vein preservation.Restricted blood flow to the extremities.Source What are the contraindications of midline catheter? Infusion of antibiotics, hydration, and pain medication.Reduce repeated venipunctures which would compromise venous access.What are the advantages of mIdline catheter? Use of midline catheters are indicated when a patient requires intravenous therapies and blood sampling for about 2 to 4 weeks. Midline Catheters ( Source) What are the indication for midline catheter insertion? The length of the midline catheter ranges from 10 to 20cm, and it can have a single lumen or double lumen. To choose appropriate size, estimate the distance between the axilla and the insertion site.
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How to choose the appropriate size of midline catheter? The midline catheters can remain in-situ up to 30 days. care, management, and removal of both devicesĪccording to Infusion Nurses Society, midline catheter is defined as a vascular access device which is inserted into a peripheral vein (namely, basilic, cephalic, or brachial vein), and the tip of it is at or near axilla level, and distal to the shoulder.medications that should not be administered via midline catheter.indications, advantages, and contraindications of both midline catheter and PICCs.In this article, we’ll discuss the similarities and differences of midline catheters and PICCs. However, the uses of both devices are quite different. Midline catheters and peripherally inserted central catheters (PICC) are both vascular access devices (VAD) used for infusion therapies.
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