I amÂ revising a guideline for midline placement and a policy for midline maintenance and removal. Some members of the IV/PICCÂ team are questioning the use of ultrasound for placement for midlines as well as using MST for insertion. The general feeling is that if you need to utilize a "modified" technique to achieve midline placement you might as well insert a PICC. I realize that the procedure is based on personal preference, but I looking for feedback on whether other IV/PICC teams are using ultrasound guidance and/or MST for midline insertion. Thanks!
Andrew Mackler, RN
Venous Access Consultant, BIDMC, Boston