What is the recommended frequency for changing midline intravenous (IV) access?

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From the Research

Recommended Frequency for Changing Midline Intravenous (IV) Access

  • The recommended frequency for changing midline intravenous (IV) access is not explicitly stated in the provided studies, but the duration of midline catheter use is discussed 1, 2, 3.
  • Midline catheters are typically used for 2 to 6 weeks, with some studies suggesting they can last for months 1.
  • The Infusion Nurses Society's standards of practice recommend midline catheters for intravenous fluids that would normally be administered through a short peripheral IV, but do not specify a recommended frequency for changing the midline catheter 1.
  • Studies on the efficacy and safety of midline catheters have reported median indwelling times ranging from 7 to 16.7 days, with complication-free catheter rates of 92.9% and 65.5% at 5 and 28 days, respectively 2, 3.
  • Other studies have investigated the optimal frequency for replacing intravenous administration sets, with some suggesting that delaying replacement up to 7 days may be safe and cost-effective for patients at low risk of infection 4, 5.
  • However, these studies do not specifically address the recommended frequency for changing midline IV access, and more research may be needed to determine the optimal frequency for changing midline catheters 1, 2, 3.

References

Research

[Medial venous catheter or midline (MVC)].

Revista de enfermeria (Barcelona, Spain), 2014

Research

The efficacy of midline catheters-a prospective, randomized, active-controlled study.

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021

Research

Optimal timing for intravenous administration set replacement.

The Cochrane database of systematic reviews, 2005

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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