Midlines do not require x-ray for tip confirmation unless indicated for complications experienced during insertion.Midlines are inserted by trained nurses, using strict aseptic technique and maximal barrier precautions.Special considerations should be given to patient with risk of thrombosis, comprised circulation, lymphedema, or those requiring vein preservation (patients with end stage renal disease).Midlines are suitable for both adults and pediatric patients.Ideal for the older adult with limited venous access.Most common complication reported is phlebitis (mechanical/chemical).Midline catheters are reported to have lower infection rates compared to PICCs.What should not be given via a midline catheter? Continuous vesicant therapy, parenteral solutions/infusates with pH 9, and infusates with an osmolality >600mOsm/L.What can be given via a midline catheter? Hydration, IV solutions, pain medications, select antibiotics.Consider a midline catheter for therapies anticipated to last 1-4 weeks. For this reason, midlines are considered peripheral devices.
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