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The convenient use of the mini midline catheter kit is especially suitable for the fields of emergency, surgery, and palliative care.
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As a treatment center for critically ill children and newborns, the Department of Neonatology of Meihe Hospital,the First Hospital of Jilin University, features the treatment of preterm and very low birth weight infant,has accumulated rich experience in the treatment of premature babies, ultra-immature babies, very low and ultra-low birth weight babies, and various neonatal critical illnesses.
Mini midline or long peripheral cannula? One 8cm to 10cm long catheter can be directly punctured into deep veins by ultrasound guidance with Seldinger technique. A catheter that can also be inserted in a shallow vein by traditional puncture technique is known as a mini midline catheter also called long peripheral cannula.
Intravenous infusion is one of the main therapy to treat the disease, when the drugs extravasate, lightly lead to local tissue pain red swelling, seriously lead to tissue ulcer necrosis, so it is necessary to focus on prevention, and properly handle extravasation also should be keep in mind, to avoid giving patients more pain. Once extravasation occurs, the infusion site should be replaced immediately, and the corresponding treatment measures should be taken actively to eliminate tissue edema and drug toxicity to cell tissues.
The application of midline effectively reduces the pain of repeated punctures in children, catheter injury, and the damage to the inner membrane of children\'s blood vessels, prolongs the time of intravenous catheterization, solves the problem of catheter extrusion in children, ensures the smooth implementation of the clinical treatment plan of children, and to the greatest extent to ensure the smooth of children\'s blood vessels , truly realizes the \"one tube to the end\" from hospitalization to discharge.
Mini midline catheter, is an intravenous catheter with a length of 8-10cm, which can meet the use of a treatment cycle of 1-4 weeks, which can not only reduce the harm to the patient during catheterization, but also has the benefit figures of minor complications and long treatment cycle. As a new intravenous treatment line, it exactly fills the gap of the time of IV indwelling and PICC indwelling.
It is the hot topic in clinical practice on how to prolong the catheter usage life. Studies have shown that fibrin sheaths form in almost all types of catheter access and the most common cause of catheter dysfunction is fibrin sheaths; In addition, it can also cause a series of complications, such as secondary infection, thrombosis, catheter removal, pulmonary embolism, etc. Therefore, early prevention, early detection and early intervention are necessary to avoid fibrin sheath formation which will leading to serious complications.
Application of Mini midline in critically illness patients;Application of Mini midline in pediatrics;Application of Mini midline in Cardiovascular Department; Application of Mini Midline in Radiology Depart
Mini-midline [1-2] is an external intravenous infusion device between short catheters (SC) (length <6 cm) and midline catheters (MC) (length 15 to 30 cm), usually placed in the shallow vein of the forearm with conventional puncture techniques, or placed in the deep vein of the middle of the upper arm with ultrasound guidance technique, the tip should not exceed the armpit, and is 6 to 15 cm long. The sizes of Mini Midline range from 3F to 5 F, generally indwelling time from 1 to 4 weeks [3] .
PICC (peripherally inserted central venous catheter) is a slender, flexible catheter peripherally placed in central venous and the end of the catheter is localized to the superior vena cava.
The relevant factors of catheter blockage include the following 3 aspects: 1.The age and disease of the patient: hypertension, hyperglycemia, hyperlipidemia, tumor patients are high-risk groups; 2. The location of placing the catheter: If veins with rich venous valves (cephalic veins, lower extremity veins) is catheterized, thrombotic blockage is prone to occur .The puncture point located in the elbow socket has a higher risk of thrombosis than in the middle and upper arms 3.Flushing tube and sealing method: The push-stop-push pulse flushing method is not used, and the positive pressure state cannot be reached when sealing the tube, which are the main reason for the blockage, accounting for up to 26%. Studies have shown that with the extension of catheter indwelling time, the incidence of catheter blockage increases and has become the most common cause of unplanned extubation. According to the nature of the blockage, it is divided into: thrombotic blockage, mechanical blockage, and drug-related blockage. Among them, thrombotic blockages account for the majority.
CVC is a device that doctors place in a large vein in the neck, chest, or arm to deliver fluids, nutrients, or to perform quick medical tests and treatments.
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The training covers ultrasound-guided PICC catheterization, PICC catheterization, ultrasound-guided mini midline catheterization and mini midline catheterization. Among them, the mini midline catheterization had attracted the much attention.
The insertion of a mini- midline as part of the first emergency room visit in selected patients is a rapid, safe, and cost-effective procedure, which can provide the patient with stable venous access during the all hospitalization time.
