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Fascinating seeing interhospital practice variation in the new gig! Esp with the ‘everyday’ things.
This week, midline catheters! Raise your
if you use these in your CCM practice
@anicalaw @MHayes_MD @tchen383 @AvrahamCooperMD @galbamd @JHMaley @Jakob_McSparron @JoshDavisMD
This week, midline catheters! Raise your
if you use these in your CCM practice@anicalaw @MHayes_MD @tchen383 @AvrahamCooperMD @galbamd @JHMaley @Jakob_McSparron @JoshDavisMD
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I was in the “not usually...” group as midlines can’t be used for vasopressors or some other low pH medications (vancomycin
) due to risk of unrecognized infiltration.
Right?
Well, perhaps the data is not super strong there....
I was in the “not usually...” group as midlines can’t be used for vasopressors or some other low pH medications (vancomycin
) due to risk of unrecognized infiltration. Right?
Well, perhaps the data is not super strong there....
Infiltration rates with midlines low:
http://ow.ly/qccZ50DopoW
At least in small observational studies can be used safely
to administer vasopressors and vancomycin:
https://www.sciencedirect.com/science/article/abs/pii/S0883944120307036?via%3Dihub
https://www.sciencedirect.com/science/article/pii/S1552885516301271
@MehrnazCCPharmD @GabrielleCozzi @notthewongrx @PElsamadisi
http://ow.ly/qccZ50DopoW
At least in small observational studies can be used safely
to administer vasopressors and vancomycin:
https://www.sciencedirect.com/science/article/abs/pii/S0883944120307036?via%3Dihub
https://www.sciencedirect.com/science/article/pii/S1552885516301271
@MehrnazCCPharmD @GabrielleCozzi @notthewongrx @PElsamadisi
While midlines are only placed by PICC/IV teams at some institutions, seeing now that they can be placed efficiently and safely by CCM clinicians as well.
Finally, given the importance of de-resuscitation, could a midline be swapped for a central line in patients improving in the ICU?
Would love to hear your thoughts and experiences!
Would love to hear your thoughts and experiences!
