# Midline Catheter Insertion (MCI)

- Link: https://sifsof.com/clinical-apps/midline-catheter-insertion-mci/
- Published: 2019-12-07T11:35:29+00:00
- Author: Developer

A **Midline Catheter Insertion** is an **8 – 12 cm** catheter inserted in the upper
arm with the tip located just below the **axilla**. Insertion should be ultrasound
guided by an experienced operator to ensure large calibre basilic or brachial veins
are selected to avoid thrombosis.

 Ultrasound allows the physician to Identify the basilic vein, the brachial veins(
usually paired and on either side of the brachial artery) and the median nerve on
each arm. The artery will be pulsatile, and the veins easily compressible .

### **Which ultrasound scanner is best for midline insertion?**

**Ultrasound Guided Midline Catheter** Insertion, is done with the help of a **Linear
Ultrasound Transducer**, with a frequency of **10 to 14 MHz. **

This is where the **[SIFULTRAS-3.5](https://sifsof.com/product/linear-handheld-wifi-ultrasound-scanner-10-12-14-mhz-sifultras-3-5/)****
Ultrasound Scanner** comes into the picture, helping the **[Anesthesiologist](https://sifsof.com/product-category/doctor-specialties/anesthesiologist/)**
ensure the **brachial veins’** safe penetration and** intra-injection** and avoid
failed needle attempts and thrombosis.

The doctor uses the **[SIFULTRAS-3.5](https://sifsof.com/product/linear-handheld-wifi-ultrasound-scanner-10-12-14-mhz-sifultras-3-5/)**
to identify the basilic vein, the **brachial veins and the median nerve** on each
arm. This way, the **artery** will be pulsatile.  

Ultrasound is also used to rescan and to ensure the wire and cannula are in the 
correct vein. The [anesthesiologist](https://sifsof.com/product-category/doctor-specialties/anesthesiologist/)
should scan all the way up the arm to the wire tip to ensure it is all in the vein.

 An experienced nurse/doctor from the hospital will insert midline. This can be 
done in one of the day wards or in the radiology dept.

![](https://sifsof.com/wp-content/uploads/2020/01/Midline-ultrasound-1024x407.png)

 * ![Mini Linear Handheld WiFi Ultrasound Scanner 10-12-14 MHz, SIFULTRAS-3.5 main](
   https://sifsof.com/wp-content/uploads/2019/03/SIFULTRAS-3.5-mini-linear-ultrasound-
   scanner-300x300.jpg)
 * Mini Linear Handheld WiFi Ultrasound Scanner 10-12-14 MHz, SIFULTRAS-3.5
 * ![Color Doppler Mini Linear WiFi Ultrasound Scanner SIFULTRAS-3.51 main](https://
   sifsof.com/wp-content/uploads/2018/11/SIFULTRAS-3.51-wireless-mini-linear-color-
   doppler-ultrasound-scanner-300x300.jpg)
 * Color Doppler Mini Linear WiFi Ultrasound Scanner SIFULTRAS-3.51

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 _Although the information we provide is used but doctors, radiologists, medical
staff to perform their procedures, clinical applications, the Information contained
in this article is for consideration only. We can’t be responsible for misuse of
the device nor for the device suitability with each clinical application or procedure
mentioned in this article.
Doctors, radiologists or medical staff must have the 
proper training and skills to perform the procedure with each ultrasound scanner
device.