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sue verbella
4Fr. dilator
Our IR physician will place a dilator instead of PICC for IV access and calls it a Midline. Is this appropriate, and if it is how long can it be left in place as an access.
lynncrni
It is absolutely **not**

It is absolutely **not** appropriate. The introducer/dilator is made of a stiff material, usually PTFE which has much greater rates of complications. These devices are not the same length as a true midline. There are far too many risks with this practice beginning with the fact that it is an off label use.  

Lynn Hadaway, M.Ed., RN, BC, CRNI

www.hadawayassociates.com

Lynn Hadaway, M.Ed., RN,  CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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