Background: Midlines are peripheral vascular devices inserted in the veins of the upper extremity with the tip located at or below the axillary vein. Greater appreciation of complications associated with peripherally inserted central catheters (PICC) and the diffusion of catheter appropriateness criteria has led to expanded use of these devices. However, single center studies comparing […]

Background: Peripherally inserted central catheters (PICCs) are one of the most widely used means for long term vascular access. When compared to traditional central venous catheters (CVCs), PICCs offer several advantages including safer insertion in the arm, cost-effectiveness, and easier self-care for patients outside the hospital. Despite these advantages, numerous studies have found complications associated […]

Case Presentation: A 29‐year old previously healthy white male patient presented with 1 day of shortness of breath, left‐sided pleuritic chest pain, cough, and hemoptysis. The patient had been on a trip a week prior to presentation where he had driven for eight hours. He had mild pain without swelling in bilateral calves. Family history […]

Background: Catheter occlusion is one of the most common complications associated with Peripherally Inserted Central Catheter (PICC) insertion, affecting 1 in every 8 PICCs placed. Occlusion may have important consequences for patients including inability to use the device, delays in tests or treatment, or if irreversible the need to remove and replace the device. Based […]

Case Presentation: A 43‐year‐old man presented with 5 days of fever. The patient's history began in childhood when he was told he had a heart murmur. He was in his usual state of good health until 5 days prior to admission when he felt unwell. He later noted a fever to 103.8°F, and went to […]