{"id":6465,"date":"2019-10-16T12:42:55","date_gmt":"2019-10-16T10:42:55","guid":{"rendered":"http:\/\/campusvygon.com\/cl\/?p=6465"},"modified":"2022-02-03T10:15:33","modified_gmt":"2022-02-03T09:15:33","slug":"mini-midline-linea-media","status":"publish","type":"post","link":"https:\/\/campusvygon.com\/cl\/mini-midline-linea-media\/","title":{"rendered":"Mini-Midline y L\u00ednea Media: \u00bfqu\u00e9 son?"},"content":{"rendered":"\n
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Descarga el Ebook \u00abEl cat\u00e9ter midline: nociones b\u00e1sicos sobre t\u00e9cnicas y procedimientos\u00bb<\/strong><\/a><\/div>\n<\/div>\n\n\n\n
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A la b\u00fasqueda de conjugar las necesidades del paciente con la rentabilidad de costes las l\u00edneas medias parecen un recurso ideal para tratamientos de duraci\u00f3n media. Pero surge la duda entre qu\u00e9 tipo de l\u00ednea media debemos elegir: Midline o mini Midline.<\/p>\n\n\n\n

La principal diferencia entre un cat\u00e9ter y el otro es la longitud, ya que el material del que est\u00e1n hechos suele ser el mismo: poliuretano. El di\u00e1metro de ambos es de un m\u00e1ximo de 5Fr y tambi\u00e9n es igual la duraci\u00f3n del tratamiento: ambos pueden estar insertados hasta 29 d\u00edas.<\/p>\n\n\n\n

Esa longitud del cat\u00e9ter condicionar\u00e1 d\u00f3nde se deja la punta del cat\u00e9ter y en funci\u00f3n de la localizaci\u00f3n de la punta, subclavia, axilar o bas\u00edlica; podremos tener un mayor flujo de sangre para poder obtener una mejor hemodiluci\u00f3n del f\u00e1rmaco y as\u00ed no da\u00f1ar el revestimiento endotelial para no causar efectos adversos y complicaciones.<\/p>\n\n\n\n

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Posici\u00f3n de la punta<\/h4>\n\n\n\n

La posici\u00f3n final de la punta en el caso de los mini midlines es la vena axilar del brazo, esto implica una duraci\u00f3n inferior y un mayor riesgo de mal funcionamiento debido a desarrollo m\u00e1s r\u00e1pido de la manga fibrobl\u00e1stica y a que se encuentra en una luz m\u00e1s peque\u00f1a.<\/p>\n\n\n\n

Sin embargo, en el caso de los midlines, la posici\u00f3n final de la punta es la vena subclavia o la axilar a la altura del pecho, esto garantiza una mayor duraci\u00f3n del cat\u00e9ter y menor riesgo de mal funcionamiento.
En el caso de producirse una trombosis, es m\u00e1s f\u00e1cil de diagnosticar y de tratar con un mini Midline.<\/p>\n\n\n\n

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\u00bfC\u00d3MO PUEDO SABER CUAL SER\u00c1 EL RENDIMIENTO DE MI CAT\u00c9TER MINI-MIDLINE O MIDLINE?<\/h5>\n\n\n\n

De forma general cada DAV (Dispositivo de Acceso Vascular) se define por:<\/p>\n\n\n\n

1. La posici\u00f3n de la punta
2. La t\u00e9cnica de inserci\u00f3n
3. La vena canalizada
4. El sitio de salida<\/p>\n\n\n\n

Teniendo en cuenta estas caracter\u00edsticas, es posible prever el rendimiento del DAV y el riesgo de complicaciones.<\/p>\n\n\n\n

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                                                                                        Para Optimizar: Planificaci\u00f3n vascular proactiva, Kokotis, Jln 2005.<\/h6>\n\n\n\n
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ASPECTOS AVALORAR PARA ELEGIR EL AV M\u00c1S ADECUADO EN CADA CASO:<\/h4>\n\n\n\n

*Diagnostico
*Duraci\u00f3n del tratamiento y tipo de f\u00e1rmacos se usar\u00e1n
*Tratamiento Intermitente o Continuo
*Ph y Osmolaridad
*Si el uso ser\u00e1 intrahospitalario o extrahospitalario<\/p>\n\n\n\n

\u00bfD\u00f3nde queda ubicado el mini-midline\/midline en el abanico de posibilidades seg\u00fan lo mencionado anteriormente?<\/p>\n\n\n\n

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\u00bfQU\u00c9 VENTAJAS Y BENEFICIOS TENGO CON EL MINI MIDLINE Y EL MIDLINE?<\/h5>\n\n\n\n

Permite evitar el uso inapropiado del cat\u00e9ter corto y racionalizar el uso del PICC
\u2022 Con la L\u00ednea Media con punta de cat\u00e9ter en subclavia, para f\u00e1rmacos vesicantes que no requieran v\u00eda central seg\u00fan protocolo del servicio del hospital
\u2022 Inserciones poco invasivas (incluso se pueden colocar en domicilio)
\u2022 La punta no se queda en cava (los PICC, son cat\u00e9teres m\u00e1s caros y con unas prestaciones que no son necesarias cuando el paciente no necesita una v\u00eda central)
\u2022 Alcanza venas de mejor calibre que las perif\u00e9ricas superficiales permitiendo flujos m\u00e1s importantes.
\u2022 Reducci\u00f3n de las complicaciones<\/p>\n\n\n\n

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\u00bfQU\u00c9 DEBO TENER EN CUENTA?<\/h3>\n\n\n\n

\uf076 Evite utilizar el cat\u00e9ter de l\u00ednea media en pacientes con alto riesgo de trombosis, con hipercoagulabilidad de la sangre, disminuci\u00f3n del flujo venoso en las extremidades o insuficiencia renal cr\u00f3nica, para recomendar la conservaci\u00f3n de las venas perif\u00e9ricas del brazo.<\/p>\n\n\n\n

\uf076 Tenga mucho cuidado al usar la l\u00ednea media para la administraci\u00f3n intermitente de medicamentos vesicantes, dado el riesgo de no diagnosticar r\u00e1pidamente la extravasaci\u00f3n. En un estudio aislado, la administraci\u00f3n de vancomicina durante menos de 6 d\u00edas a trav\u00e9s de un cat\u00e9ter de l\u00ednea media no se asoci\u00f3 con complicaciones<\/p>\n\n\n\n

Es imprescindible elegir el acceso vascular m\u00e1s adecuado para cada caso. Para ello debemos conocer bien las distintas opciones y no cometer errores con la terminolog\u00eda, que en algunos casos puede inducir a confusi\u00f3n.<\/p>\n\n\n\n

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[accordion title=’Bibliograf\u00eda’]<\/p>\n

    \n
  1. Simon Bugden et.al, Skin Glue Reduces the Failure Rate of Emergency Department-Inserted Peripheral Intravenous Catheters: A Randomized Controlled Trial<\/a>, Ann emerg. Med., Aug;68(2):196-201 – 2016<\/li>\n
  2. Pittiruti et.al, Evidence-based criteria for the choice and the clinical use of the most appropriate lock solutions for central venous catheters (excluding dialysis catheters): a GAVeCeLT consensus<\/a>, Jounal of Vascular Access, Nov 2;17(6):453-464 – 2016<\/li>\n
  3. Nancy Moureau, Vessel Health and preservation: the right approach for vascular access<\/a>, Edici\u00f3n Springer Open- 2019<\/li>\n
  4. Mauro Pittiruti y Giancarlo Scoppettuolo, Manual GAVeCELT sobre PICC y midline, edici\u00f3n Edra- 2016<\/li>\n
  5. Grupo GAVeCeLT, gu\u00eda de elecci\u00f3n DAV Expert<\/a>, web y aplicaci\u00f3n para m\u00f3viles – consulta en marzo de 2021<\/li>\n
  6. Ann Jacobson et-al, Variables influencing intravenous catheter insertion difficulty and failure: an analysis of 339 intravenouses catheter insertions<\/a>, Heart Lung; 34(5):345-59 – Sep-Oct 2005<\/li>\n<\/ol>\n

    [\/accordion]<\/p>\n\n\n\n

    Si quieres saber m\u00e1s acerca de midlines y mini midlines<\/strong>, rellena el formulario con tus datos y dudas e intentaremos ayudarte a resolverlas.<\/strong><\/p>\n\n\n\n

    Tranquil@, esto NO es una lista de SPAM.  SOLO utilizaremos tus datos para responder a las preguntas que nos hagas.<\/strong><\/p>\n\n\n\n

    Consulta nuestra pol\u00edtica de protecci\u00f3n de datos<\/strong> aqu\u00ed<\/a>.<\/p>\n\n\n\n

    M\u00e1s informaci\u00f3n<\/a> <\/span><\/p>\n\n\n\n

         <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

    A la b\u00fasqueda de conjugar las necesidades del paciente con la rentabilidad de costes las l\u00edneas medias parecen un recurso ideal para tratamientos de duraci\u00f3n media. Pero surge la duda entre qu\u00e9 tipo de l\u00ednea media debemos elegir: Midline o mini Midline. La principal diferencia entre un cat\u00e9ter y el otro es la longitud, ya […]<\/p>\n","protected":false},"author":29,"featured_media":17999,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[116],"tags":[],"class_list":["post-6465","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-terapias-intravasculares"],"yoast_head":"\nMini-Midline y L\u00ednea Media: \u00bfqu\u00e9 son? - Campus Vygon Chile<\/title>\n<meta name=\"description\" content=\"Midline y mini midline, qu\u00e9 dispositivo de acceso venoso utilizar en cada caso.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/campusvygon.com\/cl\/mini-midline-linea-media\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mini-Midline y L\u00ednea Media: \u00bfqu\u00e9 son? 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