Extract:
“Midline catheters have advantages over peripheral IVs for the management of septic shock in the ED setting for several reasons. Midline catheters are a heterogenous group of vascular access devices that may be single or dual lumen, may feature fixed or trimmable catheters, and can be placed rapidly with techniques familiar to emergency physicians or nurses trained in advanced vascular access (eg, accelerated or classical Seldinger technique, similar vasculature to peripheral IVs). Despite the heterogeneity, midline catheters are categorically more reliable than peripheral IVs with reported average dwell times of 16.3 days for midline catheters versus 4.8 days for peripheral IVs. Furthermore, midline catheters can serve as reliable long-term vascular access with a study demonstrating that 68% of patients who underwent midline catheter placement never required additional IV insertion through the remainder of their hospitalization.” Reference:
Bracey A, Sherman MH. Midline Catheters Are the Optimal Vascular Access Device For Managing Septic Shock in the Emergency Department. Ann Emerg Med. 2024 Mar 7:S0196-0644(24)00023-4. doi: 10.1016/j.annemergmed.2024.01.011. Epub ahead of print. PMID: 38456868.