The Department of Thoracic Surgery of Peoples Hospital of Wuhan University successfully placed Mini midline catheter for a 93 -year- old patient.

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.

What is fibrin sheath on catheter?

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.  

Status Research and Prospect of Mini Midline

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

Status Research and Prospect of Mini Midline

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]  .

You dont know what to pay attention to after PICC catheterization? Look here!

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.

Causes of blockage in Mini Midline and the nursing countermeasures

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.

What Is A Central Venous Catheter(CVC)?

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.

The 10th PICC and MC training course of Hebei Province was successfully concluded

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.

Mini-Midline In Difficulty Intravenous Access Patients In Emergency Department: a Prospective Analysis

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.

DISINFECTION OF NEEDLELESS CONNECTOR HUBS: CLINICAL EVICDENCE SYSTEMATIC REVIEW

In a randomized prospective trial by Pittiruti,46 catheters received a 70% alcohol port protector with no detected CLABSIs over 707 catheters days, colonization in two catheters and no contaminated blood culture[18]. Of note the Pittiruti study resulted in reductions of CLABIs in the port protector/disinfection cap group and the control group, with improvements attributed to both the disinfection caps and educational efforts. These disinfection caps applied and left in place provide active mechanical friction along with longer contact time creating a physical and chemical barrier between the lumen and the environment[26].

3 Common Types Of PICC Lines Worth Knowing

PICC insertion is often the first choice when a person is expected to require more than two weeks of intravenous therapy.

What Should Patients With PICC Lines Avoid?

The small, flexible tube is placed in a vein in the patient\'s arm. The patient needs to take care of the PICC line in order for it to work normally.

Precautions For The Use of PICC Line

PICC line for adults is widely used clinically. In order to reduce the occurrence of complications, it is important to understand PICC precautions and contraindications.

What Is A PICC Line Used For?

Generally speaking, when a person is expected to need more than two weeks of intravenous treatment, the PICC line is the ideal choice. Compared with other central venous access, the PICC line is more patient-friendly.

Thinking about the chemotherapy for a patient with breast cancer

Breast cancer is the most common tumor affecting women\'s health worldwide[1]. According to the 2018 National Cancer Registry, breast cancer is the leading incidence of malignant tumors in women, accounting for 16.51%, and is rising yearly.