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Do to the fact that midlines should still be atomically considered a peripheral line but cared for as a ceteral line. at our hospital we infuse vesicants and TPN into our PICC lines we in emergency cases also will do PPN into a peripheral line rather than TPN in a central line. We do not currently do midline access.
You are correct about the off-label use and the dangers of cutting a PICC to be a midline. There are numerous brands of midlines available, but I do not think any of them are labeled for high-pressure injection.ual lumens may be necessary in some patients but that depends upon the fluids and meds prescribed. The blood flow at the catheter tip of a midline is not the same as the blood flow in the SVC.