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Midline Catheter Insertion (MCI)

Midline Catheter Insertion

A Midline Catheter Insertion is an 8 – 12 cm catheter inserted in the upper arm with the tip located just below the axilla. Insertion should be ultrasound guided by an experienced operator to ensure large calibre basilic or brachial veins are selected to avoid thrombosis.

Ultrasound allows the physician to Identify the basilic vein, the brachial veins (usually paired and on either side of the brachial artery) and the median nerve on each arm. The artery will be pulsatile, and the veins easily compressible .

Which ultrasound scanner is best for midline insertion?

Ultrasound Guided Midline Catheter Insertion, is done with the help of a Linear Ultrasound Transducer, with a frequency of 10 to 14 MHz.

This is where the SIFULTRAS-3.5 Ultrasound Scanner comes into the picture, helping the Anesthesiologist ensure the brachial veins’ safe penetration and intra-injection and avoid failed needle attempts and thrombosis.

The doctor uses the SIFULTRAS-3.5 to identify the basilic vein, the brachial veins and the median nerve on each arm. This way, the artery will be pulsatile.  

Ultrasound is also used to rescan and to ensure the wire and cannula are in the correct vein. The anesthesiologist should scan all the way up the arm to the wire tip to ensure it is all in the vein.

An experienced nurse/doctor from the hospital will insert midline. This can be done in one of the day wards or in the radiology dept.

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Although the information we provide is used but doctors, radiologists, medical staff to perform their procedures, clinical applications, the Information contained in this article is for consideration only. We can’t be responsible for misuse of the device nor for the device suitability with each clinical application or procedure mentioned in this article.
Doctors, radiologists or medical staff must have the proper training and skills to perform the procedure with each ultrasound scanner device.

1 Comment

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