Midline catheters: the middle ground of intravenous therapy administration

J Infus Nurs. 2004 Sep-Oct;27(5):313-21. doi: 10.1097/00129804-200409000-00005.


Evangelical Community Hospital at Lewisburg, Pennsylvania, is a small community hospital with 110 beds. This organization sought a device to bridge between the short peripheral catheter and the peripherally inserted central catheter. The midline catheter provided an answer to this dilemma. However, a literature search for midline catheters yielded only four published articles, and only one of these was related to outcomes. The drugs used and the type of patients treated at Evangelical Community Hospital provided a challenge for the infusion therapist. This article examines the management of the patients who fell into a midlength of stay, and for whom both the short peripheral catheter and the peripherally inserted central catheter were inappropriate.

Publication types

  • Evaluation Study

MeSH terms

  • Algorithms
  • Catheterization, Central Venous / instrumentation*
  • Catheterization, Central Venous / nursing
  • Catheterization, Peripheral / instrumentation*
  • Catheterization, Peripheral / nursing
  • Catheters, Indwelling / adverse effects
  • Catheters, Indwelling / economics
  • Catheters, Indwelling / standards*
  • Clinical Nursing Research
  • Cost Savings
  • Decision Trees
  • Equipment Design
  • Equipment Failure
  • Extravasation of Diagnostic and Therapeutic Materials / epidemiology
  • Extravasation of Diagnostic and Therapeutic Materials / etiology
  • Hospitals, Community
  • Humans
  • Incidence
  • Infusions, Intravenous / instrumentation*
  • Infusions, Intravenous / nursing
  • Length of Stay / economics
  • Nursing Assessment
  • Outcome Assessment, Health Care
  • Patient Selection
  • Pennsylvania / epidemiology
  • Phlebitis / epidemiology
  • Phlebitis / etiology
  • Practice Guidelines as Topic
  • Quality Assurance, Health Care