Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases

Abstract

Background:

Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month.

Methods:

In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire.

Results:

The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported.

Conclusion:

According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.

Keywords

JLB mini-midline peripherally inserted central catheter centrally inserted central catheter case series ultrasound-guided

Get full access to this article

View all access options for this article.

References

Halvorson

Case

Skelton

, et al. Vascular access in critically III pediatric patients with obesity. Pediatric Critic Care Med 2018; 19(1): 1–8.

Sebbane

Claret

Lefebvre

, et al. Predicting peripheral venous access difficulty in the emergency department using body mass index and critical evaluation of venous accessibility. J Emerg Med 2013; 44(2): 299–305.

Brandt

HGS

Jepsen

Hendriksen

, et al. The use of ultrasound to identify veins for peripheral venous access in morbidly obese patients. Dan Med J 2016; 63(2): A5191.

Rauch

Eldridge

Mace

Schears

, et al. Periferal difficult venous access in children. Clin Pediatr 2009; 48(9): 895–901.

Barton

Danek

Johns

, et al. Improving patient outcomes through CQI: vascular access planning. J Nurs Care Qual 1998; 13(2): 77–85.

Krein

Kuhn

Ratz

, et al. Use of designated nurse PICC teams and CLABSI prevention practices among U.S. hospitals: a survey-based study. J Patient Safe 2019; 15: 293–295.

Zingg

Sandoz

Inan

, et al. Hospital-wide survey of the use of central venous catheters. J Hosp Infect 2011; 77(4): 304–308.

Chakravarthy

Rettmann

Markewitz

, et al. Peripherally inserted central catheter (PICC)-associated upper-extremity deep venous thrombosis (UEDVT) in critical-care setting. Chest 2005; 128(4 Suppl. S): 193S–194S.

Cowl

Weinstock

Al-Jurf

, et al. Complications and cost associated with parenteral nutrition delivered to hospitalized patients through either subclavian or peripherally inserted central catheters. Clin Nutr 2000; 19(4): 237–243.

10.

Safdar

Maki

. Risk of catheter-related bloodstream infection with peripherally inserted central venous catheters used in hospitalized patients. Chest 2005; 128(2): 489–495.

11.

Bottino

McCredie

Groschel

, et al. Long-term intravenous therapy with peripherally inserted silicone elastomer central venous catheters in patients with malignant diseases. Cancer 1979; 43(5): 1937–1943.

12.

Giuffrida

Bryan-Brown

Lumb

, et al. Central vs peripheral venous catheters in critically ill patients. Chest 1986; 90(6): 806–809.

13.

Graham

Keldermans

Klemm

, et al. Infectious complications among patients receiving home intravenous therapy with peripheral, central, or peripherally placed central venous catheters. Am J Med 1991; 91(3B): 95S–100S.

14.

Monreal

Lafoz

Ruiz

, et al. Upper-extremity deep venous thrombosis and pulmonary embolism: a prospective study. Chest 1991; 99(2): 280–283.

15.

Evans

Sharp

Linford

, et al. Reduction of peripherally inserted central catheter-associated DVT. Chest 143; 627–633.

16.

Pikwer

Akeson

Lindgren

. Complications associated with peripheral or central routes for central venous cannulation. Anaesthesia 2012; 67(1): 65–71.

17.

Teismann

Knight

Rehrer

, et al. The ultrasound-guided “peripheral IJ”: internal jugular vein catheterization using a standard intravenous catheter. J Emerg Med 2013; 44(1): 150–154.

18.

Brugioni

Barchetti

Tazzioli

, et al. A new device for ultrasound-guided peripheral venous access. J Vasc Access 2019; 20: 325–328.

19.

Gorski

. The 2016 infusion therapy standards of practice. Home Healthc Now 2017; 35(1): 10–18.

20.

O’Grady

Alexander

Burns

, et al. Guidelines for the prevention of intravascular catheter-related infections, 2011: Healthcare Infection Control Practices Advisory Committee. Am J Infect Control 2011; 39(4 Suppl. 1): S1–S34.