We are a large university hospital with over 500 beds between 2 sites. Due to an increase in CLABSI rates in our ICU's the medical director is pushing extremely hard for midlines to be placed in the ICU. Currently we do not place midlines at all in our hospital due to the potential for misuse and extravasation. If midlines are going to be initiated we fear that the ICU is NOT the place to trial due to the exceptionally high risk for extravasation from the extensive number of vesicant medications and continuous drips that are utilized in that setting.
I need any articles and/or data showing the risk of midlines especially in the ICU setting. Unfortunately once the ICU has access they have shown in the past that they will use it regardless of it's limitations or contraindications. When a patient is critically ill and they need access they will use any and all access when it is available without consideration of consequence to the patient. We are trying desperately to prevent this and need your help in providing any information showing midlines in an ICU setting are dangerous.
Your help is greatly appreciated!