Long peripheral catheters: Is it time to address the confusion?

Abstract

Long peripheral catheters are 6–15 cm peripheral dwelling catheters that are inserted via a catheter-over-needle or direct Seldinger (catheter-over-guidewire) technique. When inserted in the upper extremity, the distal tip terminates before reaching the axilla, typically no further than the mid-upper arm. This is distinct from a midline catheter, which is inserted via a modified Seldinger technique and terminates at the axilla. The nomenclature of this catheter is confusing and inconsistent. We have identified over a dozen labels in the literature, all describing the same device. These include ‘15 cm catheter’, ‘catheter inserted with a Seldinger method’, ‘extended dwell/midline peripheral catheter’, ‘Leaderflex line’, ‘long catheter’, ‘long IV catheter’, ‘long peripheral cannula’, ‘long peripheral catheter’, ‘long peripheral venous catheter’, ‘long polyurethane catheter’, ‘midline cannula’, ‘mini-midline’, ‘peripheral intravenous catheter’, ‘Seldinger catheter’, ‘short midline catheter’, ‘short long line’ and ‘ultrasound-guided peripheral intravenous catheter’. The purpose of this editorial is to achieve some level of standardisation in the nomenclature of this device. Is it time to address the confusion? We suggest adopting ‘long peripheral catheter’. However, we encourage discussion and debate in reaching a consensus.

Keywords

Long peripheral catheter long peripheral cannula: long line extended dwell catheter peripheral intravenous catheter midline catheter intravenous therapy Seldinger catheter vascular access intravenous access peripheral intravenous access

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References

Chopra

Flanders

Saint

, et al. The Michigan appropriateness guide for intravenous catheters (MAGIC): results from a multispecialty panel using the RAND/UCLA appropriateness method. Ann Intern Med 2015; 163: S1–S40.

Pittiruti

Scoppettuolo

The GAVeCeLT manual of PICC and midlines. Milano: EDRA, 2016.

Dudrick

SJ.

History of vascular access. JPEN Parenter Enter 2006; 30: S47–S56.

Royal College of Nursing. Standards for infusion therapy. 4th ed. London: Royal College of Nursing, 2016.

Anderson

NR.

Midline catheters: the middle ground of intravenous therapy administration. J Infus Nurs 2004; 27: 313–321.

Adams

Little

Vinsant

, et al. The midline catheter: a clinical review. J Emerg Med 2016; 51: 252–258.

Pacilli

Bradshaw

Clarke

SA.

Use of 8-cm 22G-long peripheral cannulas in pediatric patients. J Vasc Access 2018; 19: 496–500.

Fabiani

Dreas

Sanson

Ultrasound-guided deep-arm veins insertion of long peripheral catheters in patients with difficult venous access after cardiac surgery. Heart Lung 2017; 46: 46–53.

Paladini

Chiaretti

Sellasie

, et al. Ultrasound-guided placement of long peripheral cannulas in children over the age of 10 years admitted to the emergency department: a pilot study. BMJ Paediatr Open 2018; 2: e000244.

10.

Scoppettuolo

Pittiruti

Pitoni

, et al. Ultrasound-guided ‘short’ midline catheters for difficult venous access in the emergency department: a retrospective analysis. Int J Emerg Med 2016; 9: 3.

11.

Seldinger

SI.

Catheter replacement of the needle in percutaneous arteriography: a new technique. Acta Radiol 1953; 39: 368–376.

12.

Mills

Liebmann

Stone

, et al. Ultrasonographically guided insertion of a 15-cm catheter into the deep brachial or basilic vein in patients with difficult intravenous access. Ann Emerg Med 2007; 50: 68–72.

13.

Meyer

Cronier

Rousseau

, et al. Difficult peripheral venous access: clinical evaluation of a catheter inserted with the Seldinger method under ultrasound guidance. J Crit Care 2014; 29: 823–827.

14.

Anderson

Greenwell

Louderback

, et al. Comparison of outcomes of extended dwell/midline peripheral intravenous catheters and peripherally inserted central catheters in children. J Assoc Vasc Access 2016; 21: 158–164.

15.

Carroll

Anderson

Reddy

, et al. Vascular access in cystic fibrosis – does size matter? J Vasc Access 2005; 6: 72–75.

16.

De Prospo

Attini

De Giorgi

, et al. The assessment of the effectiveness of long vs standard-length catheters in reducing complications: a randomized controlled trial. Assist Inferm Ric 2015; 34: 116–124.

17.

Elia

Ferrari

Molino

, et al. Standard-length catheters vs long catheters in ultrasound-guided peripheral vein cannulation. Am J Emerg Med 2012; 30: 712–716.

18.

Qian

Horn

Barnes

, et al. The use of 8-cm 22G Seldinger catheters for intravenous access in children with cystic fibrosis. J Vasc Access 2014; 15: 415–417.

19.

Irisneida

Enrico

Fabio

, et al. Mini-midline a new device for peripheral venous catheterization UN emergency wards. J Anest & Intensive Care Med 2018; 6: 555678.

20.

Warrington

Jr Aragon Penoyer

Kamps

, et al. Outcomes of using a modified Seldinger technique for long term intravenous therapy in hospitalized patients with difficult venous access. J Assoc Vasc Access 2012; 17: 24–30.