DISCHARGE INSTRUCTIONS: Call your local emergency number (911 in the US) for any of the following: You feel lightheaded, short of breath, or have chest pain. (7,25,26)Moreover, since Midlines do not have the terminal tip in a central vein and thus are not Central lines, bloodstream infections associated with midline catheters presently do not require public reporting. With radiopaque materials, ensure correct placement of the catheter tip . All rights reserved. Lifecath Midline is supplied in a rigid blister pack containing: 1 totally radiopaque catheter 25cm long, except codes 1296.433/442/443 (20cm long) in biostable polyurethane with graduations and numerical markings every cm: 0 at the wings level, 20 or 25 at the distal end except for the codes 1296.433 and 1296.443 which has a reverse graduation 0 at distal end and 20 at the wings level. 99 ($21.99/Count) Save more with Subscribe & Save. The availability of trained personnel and dedicated teams using ultrasound-guided insertion techniques in technically difficult situations may also impact the selection. The catheter will be put into a vein. By Express:  Fedex, UPS, TNT, DHL, SF express       3-5day, 5-7days. Additionally, the device includes a full-length Nitinol guidewire and passive needlestick safety.Â, The POWERWAND extended dwell catheter is made of Chronoflex C, a proprietary blend of polycarbonate and polyurethane, and is specially treated so as to be kink-resistant. Disclaimer: These IFUs are made available online purely for the convenience of our customers. 2008; 31 (4): 241-248.12. Some midlines are made of novel materials, others are made of traditional silicone or polyurethane; some are CT power-injectable, most are not. reported an overall midline bloodstream infection (BSI) rate of 0.2 per 1,000 catheter-days. Catheter Included. These clinical advantages, along with the cost advantages of midline catheters, make their position in the modern VAD armamentarium quite favorable. Maki DG, Ringer M.  Risk Factors for Infusion-related Phlebitis with Small Peripheral Venous Catheters.  Annals Int Med 1991; 114:845-854.18. do Rego Furtado LC.  Maintenance of Peripheral Venous Access and Its Impact on the Development of Phlebitis.  J Infusion Nursing 2011;(34)6:382-389.19. Leg Bag with Slide-Tap and Comfort Straps, Large 32 oz. The Middle Ground of Intravenous Therapy Administration. He is a member of the Concord Hospital IV Team in Concord, NH. (4,5) Moreover, there are now in place national and state public reporting requirements for CLABSI rates that may cause certain acute care hospitals to be seen in a bad light.Â. Manufacturer: Medline Compare. The average dwell time of a MC is reported as 7.69–16.4 days, which far exceeds PIVs (2.9–4.1 days) and is comparable to PICCs (7.3–16.6 days). Low prices on school supplies. So what is a cost-conscious, caring clinician to do when the patient needs reliable venous access and the intended therapy does not require a central line? (33,34) Unfortunately, between 1992 and 1995, an acute hypersensitivity-like reaction became associated with the Landmark midline and attributed, rightly or wrongly, to its novel material and/or insertion technique. The author of the aforementioned JAMA article concludes: Because hospitalized patients are especially at risk of CLABSI and venous thromboembolism, discrimination in use of PICCs is a necessary and fundamental aspect of CLABSI and venous thromboembolism prevention in this patient population.
(6) These rates comport with Makis 2006 meta-analysis of CVAD-related bloodstream infections: namely, 1.0 to 3.2 BSIs per 1,000 catheter days for inpatient PICCs; and 2.7-4.7 BSIs per 1,000 catheter days for non-cuffed central venous catheters (CVCs). Thus, in many cases, midlines are becoming the go-to device for safe, uninterrupted intravenous (IV) therapy. 3. Does it matter which one I use? Unless otherwise noted, BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company.