PICC vs. Midline!

Dr. Rahul Ganatra MD (@rbganatra on Twitter) talks through a recent study reviewing adverse outcomes in PICC versus Midline placement. Citation: Swaminathan L, Flanders S, Horowitz J, Zhang Q, O’Malley M, Chopra V. Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients with Short-term Inidcations: A Multiceneter Study. JAMA Internal Medicine. 2022; 182(1):50-58. Full episode here: • Video

[@bettysmith4527]

So, catheter occlusion are fairly common in PICC lines and do not require the line to be d/c, it is treated easily, midline occlusion are not recorded because the line just gets pulled. This study is VERY Skewed! Not to mention vesicants cannot be administered through a midline and there is a MUCH higher risk that an infiltrate with occur in a midline and go unnoticed for quite some time!

[@contrariangrin]

Fantastic, practical short!
Would love to see more clips like this

[@davidbradford38]

Just got a midline placed 10 minutes ago