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What is a Midline Catheter? A Midline Catheter is a small flexible tube that is shorter than a PICC. It is inserted in the same vein location as a PICC, but it only extends to a point just below the level of your armpit. It is not a central venous catheter (CVC).
18 Αυγ 2023 · PICC line: PICC lines are better suited for treatments that require longer-term venous access and those that need to be delivered near the heart. Midline: Midlines are suitable for shorter treatments and are not ideal for medications that require direct delivery to the central circulation.
COMPARISON CHART OF WHERE DIFFERENT CENTRAL LINES ARE PLACED. CVC and PICC are used for rapid infusions, long-term medication administration (antibiotics, chemotherapy), total parenteral nutrition and frequent blood draws. Both can be seen in the inpatient and outpatient setting.
The only difference between a midline catheter and a PICC is the length of the catheter. A midline catheter is about half the length of a PICC and so the end of a midline catheter lies within a vein close to your shoulder.
Why have a PICC line or Midline? A PICC line or midline is useful for patients who have small veins and/or require long term intravenous therapy, for example, over a week. PICC lines and midlines can deliver medications directly to the blood stream and reduce irritation to the veins, which can sometimes be caused by medications.
Catheter-related (CR) thrombosis is a significant complication of midline catheters (MCs) and peripherally inserted central catheters (PICCs). Limited existing data for MCs suggest a favorable complication profile for MCs.
Midline does not require catheter tip verification. Consider a midline catheter for medications and solutions such as antimicrobial, fluid replacement, analgesics with characteristics that are well tolerated by peripheral veins.
