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Are midline catheters underused in the emergency department?
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Are midline catheters underused in the emergency department?

“In the ED [emergency department], time is chief,” said Professor Baudolino Mussa, Vascular Access Surgeon and Professor of Vascular Access at the University of Turin in Italy.1  

Prof Mussa explained that oftentimes in the ED, the choice of vascular access device isn’t always aligned with clinical recommendations due to the need for rapid decision-making.1  

In fact, according to a study he conducted in the ED of the Cuneo Hospital, 95% of patients received peripheral catheters; however, after review, about 40% of these patients received the wrong device.1 This study is currently submitted for publication and will soon be publicly available. 

With this in mind, how do we make sure that patients are receiving the correct vascular access device, and the device itself is effective in their treatment?  

Dive into the conversation with Prof Mussa in his MACOVA 2022 presention: Midlines: A New Vascular Access Approach for Emergency Medicine. 

 

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References

  1. Mussa, B. Midlines: A New Vascular Access Approach for Emergency Medicine. Lecture presented at: The 2022 BD Multidisciplinary Advanced Course on Vascular Access (MACOVA); 8 June, 2022; Berlin, Germany. 
  2. Spina R, Mussa B, Tollapi L, Conti F, Cortesi E, Verna R. (2018). Adoption and application in Italy of the principal guidelines and international recommendations on venous access. Minerva medica. Vol. 109. 153-202. 10.23736/S0026-4806.18.05552-0. 
  3. Chopra V, Kaatz S, Swaminathan L, et al. Variation in use and outcomes related to midline catheters: results from a multicentre pilot study. BMJ Qual Saf. 2019;28(9):714– 720. doi:10.1136/bmjqs-2018-008554 
  4. Moureau N, Sigl G, Hill M. How to Establish an Effective Midline Program: A Case Study of 2 Hospitals. Journal of the Association for Vascular Access. 1 September 2015; 20 (3): 179–188. doi: https://doi.org/10.1016/j.java.2015.05.001 
  5. Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: Peripheral IV Catheter Failure. J Infus Nurs. 2015 May-Jun;38(3):189-203. doi: 10.1097/NAN.0000000000000100. 
  6. Pittiruti M, Scoppettuolo G, Emoli A et al. Parenteral nutrition through ultrasound-placed PICCs and midline catheters is associated with a low rate of complications: An observational study. Nutr Ther Metab. 2009 Jul;27(3). Print. 
  7. Madsen EB, Sloth E, Illum BS, Juhl-Olsen P. The clinical performance of midline catheters—an observational study. Acta Anaesthesiol Scand. 2020 Mar;64(3):394-399. doi: 10.1111/aas.13516. 

The presentation is made on behalf of BD and contains the opinions, techniques and practices by Prof Baudolino Mussa.  The opinions and techniques presented herein are for informational purpose only.    

This list of references to third-party peer-reviewed material and the sites they are hosted on are provided for your reference and convenience only, and do not imply any review or endorsement of the material or any association with their operators.  The Third-Party References (and the Web sites to which they link) may contain information that is inaccurate, incomplete, or outdated. Your access and use of the Third Party Sites (and any Web sites to which they link) is solely at your own risk. 

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