![]() ![]() Interventions Inpatients were randomized to receive a 4F antithrombotic MC (MC-AT) or a 4.5F antithrombotic and antimicrobial MC (MC-AT-AM). Objective To compare 2 MCs with differing antithrombogenic mechanisms for this outcome.ĭesign, Setting, and Participants In this parallel, 2-arm randomized clinical trial, 496 adult patients hospitalized at a tertiary care suburban academic medical center who received an MC were assessed for eligibility between January 1, 2019, and October 31, 2020, and 212 were randomized. Importance Data regarding upper extremity midline catheter (MC)–related thrombosis (CRT) are sparse, with some evidence indicating that MCs have a high rate of CRT. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. Available from Īdams DZ, Little A, Vinsant C, Khandelwal S. Dressings and securements for the prevention of peripheral intravenous catheter failure in adults (SAVE): a pragmatic, randomised controlled, superiority trial. Indwell times, complications and costs of open vs closed safety peripheral intravenous catheters: A randomized study. González López JL, Arribi Vilela A, Fernández del Palacio E, Olivares Corral J, Benedicto Martí C, Herrera Portal P. Standard-length catheters vs long catheters in ultrasound-guided peripheral vein cannulation. Published by John Wiley & Sons Ltd.Įlia F, Ferrari G, Molino P, et al. © 2019 The Acta Anaesthesiologica Scandinavica Foundation. The majority of midline catheters were removed prematurely. The median dwell time of the midline catheters was 8 days with substantial variation, whereas the incidence for premature catheter removal was 71.8/1000 catheter days. The most frequent reasons for premature catheter removal were pain during infusion, clotted catheter or signs of infection. The overall incidence for premature catheter removal was 71.8/1000 days and no significant effects of subgroups (sex, body mass index, catheter reinsertions, significant comorbidity, anticoagulant therapy, irritant infusions) were identified for either dwell time or the incidence rate for premature midline catheter removal. Median dwell time was 8 days and 60 catheters were removed before the indication for intravenous therapy had ceased. Hundred midline catheters, of which 98 were accessible to follow-up, were inserted in 70 patients. Endpoints were dwell time, the incidence of premature catheter removal, causes of catheter removal and the dwell time and incidence rates of predefined subgroups representing potential effect modifiers. This study aimed to evaluate the clinical performance of the PowerGlide Pro midline catheter.Ĭonsecutively inserted midline catheters were followed in a prospective, observational quality control study. A new generation of midline catheters, PowerGlide Pro, utilises a one-hand Seldinger technique and can be inserted by one single operator without assistance. Ultrasound techniques allow for easy catheter insertion into the major veins of the upper arm. The use of peripheral venous catheters (PVCs) is hampered by short dwell time, and central venous catheters (CVCs) are often preferred for medium- to long-time intravenous treatment. ![]()
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