COVID-19 and Vascular Access Devices

Masked Doctors

By: Health Line Marketing—September 2020

While COVID-19 cases rise across America, so does the need for medical devices. The world knows about COVID-19 patients' need for ventilators, but there's a need for so much more. If any of these patients need high-flow infusion therapies or vasopressor drugs, they'll need a PICC, CICC, or FICC. Here's why a PICC might be the best option for a health care professional working with a COVID-19 positive patient:
• The patient can be in a seated or pronated position for a PICC insertion. This is significant because some COVID-19 patients are unable to be in the supine position.
• The health care professional can keep distance from the most COVID-19 sensitive areas of the patient (oral and nasal areas) during insertion.
• No risk of pneumothorax or hemothorax, which could both be fatal in COVID-19 positive patients.

Source: GAVeCeLT "Considerations on the use of vascular access devices in patients with COVID-19 (and some practical recommendations)" April 5, 2020.

 
 
 
 
 
 
 
 

WoCoVA Live! And the Novel Coronavirus

WoCoVA
By: Health Line Marketing—August 2020

Health Line was grateful to be a sponsor of WoCoVA’s virtual live event held on June 17 and 18, this year. Vascular Access experts from around the world addressed unforeseen challenges due to COVID-19 and solutions they found to some of these challenges. Here are two of the highlights from the virtual congress.

WoCoVA co-founder, Dr. Mauro Pittiruti, spoke about the significance of wireless ultrasound probes for inserting PICCs and midlines in his talk called “The Golden Age of Wireless”. He strongly believes every healthcare setting must prioritize minimizing contact between employees and patients as well as equipment and patients. He also suggested the use of a wireless ECG for COVID-19 positive patients to reduce the amount of equipment the patients come in contact with.

Dr. Ken Symington, an interventional radiologist from the US, emphasized Pittiruti’s point in minimizing contact. Dr. Symington strongly recommended avoiding chest X-Rays for COVID-19 patients after noticing that some patients received one every single day, and in the US they can cost $260-$460/scan. Dr. Symington brought up that a hemothorax or pneumothorax (common problems in COVID-19 patients) can’t be seen in an X-Ray. Just like Dr. Pittiruti, he suggested using a wireless ultrasound or IC-ECG over an X-Ray whenever possible.
Nearly all of the speakers emphasized the importance of teamwork and the incredible advantage of having a Vascular Access Team. Some COVID-19 patients will have smaller veins or be required to lay in the prone position, making PICC or CICC insertions more difficult, so experts are invaluable. To limit exposure to a COVID-19 positive patient, various speakers stressed the importance of doing anything that can save the team time. Extra sterilization and forgetting equipment were a couple of problems found to increase likelihood of failure and complications.

Health Line is committed to providing the highest quality products for any scenario, even a global pandemic. That’s why our Max Barrier Kits* are designed with the healthcare worker’s needs in mind. To save time and hassle, these kits include an ultrasound probe cover and ultrasound gel that is compatible with most wireless and wired ultrasound systems in circulation. Contact a Health Line representative for more details.
*Available for US customers only.

 
 
 
 
 
 
 
 
 
 

 Flow Controller

IV Sets, Let’s talk Flow control 
 By: Health Line Marketing—June 2020
 

Health Line’s Flow Controller provides a constant flow rate during the entire infusion procedure. There is no need for continuous adjustment of flow rate and there is no risk of over-infusion. Because it takes two hands to set and adjust our products, this prevents accidental changes in flow. Infusion Nurthree-dimensionalities and Procedures for Infusion Therapy Indicated that manual flow control devices may be used for infusions that do not require strict control.

 
 

PES iv filter

 

IV Sets, Let’s talk Filters

By: Health Line Marketing—June 2020

Anyone who is in the business of administering fluids via IV sets understands the importance of a quality IV set filter. We understand that at Health Line and offer quality filters composed of is polyethersulfone (PES). The sizes of the membrane pore are 0.22 μm and 1.2 μm selectable and the size remains consistent during infusion. The multiple layer, three-dimensional filter, significantly increases the capability of entrapping microparticles and reduces drug absorption rate; and there is no membrane shedding. This helps prevent phlebitis, vascular discoloration or hardening, local embolisms, scleroma, limb numbness, granuloma, etc. thus ensuring a safe, clinical infusion.

Comparing Filter Materials:

Ordinary Filter 
Membrane
(Fiber Membrane)

General Filter
Membrane
(Nuclear Pore
Membrane)

Health Line Filter
Membrane
(Polyethersulfone
Membrane)

                                                                       

Hydrophilic group shed during infusion is highly toxic; shed fiber forms
new insoluble particles; pore size is increased
after infusion that
reduces filtering rate.

Repeated holes may enable the passing of large particles. 
Surface filtration mechanism causes
severe flow rate delay.

Multiple layer
filtering,
no self-contamination.




  1. American Infusion Nurses Society (INS) indicated that non-lipid solutions need to use a precision filter with filtering pore size 0.2μm, while lipid solutions and full parenteral nutrition mixtures need to use a precision filter with filtering pore size 1.2μm(1). 2. “Intravenous Infusion Treatment Nursing” indicated that with filters of pore size 0.2 μm articles and bacteria and other microorganisms can be filtered so that endotoxin and heat source reaction are reduced(2). 3. Scholarly researchers suggest using the precision filter with filter pore size 0.2μm for non-lipid solutions and filter size 1.2μm for lipid solutions and full parenteral nutrition mixtures (3,4,5).
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Choosing a Midline Catheter

5 Things to Consider

By: Health Line Marketing—March 2018

1. Consider infusate characteristics in conjunction with anticipated duration of treatment (eg, 1-4 weeks.)
2. Consider a midline catheter for medications, and solutions, such as antimicrobials, fluid replacement, and analgesics with characteristics that are well tolerated by peripheral veins.
3. Do not use midline catheters for continuous vesicant therapy, parenteral nutrition, or infusates with an osmolarity greater than 900 mOsm/L.
4. Use caution with intermittent vesicant administration due to risk of undetected extravasation. The administration of vancomycin for less than 6 days through a midline catheter was found to be safe in one study.
5. Avoid the use of a midline catheter when the patient has a history of thrombosis, hypercoagulability, decreased venous flow to the extremities, or end-stage renal disease requiring vein preservation.

Source: Journal of Infusion Nursing Volume 39,Number 1S

Health Line International Corp. is not responsible for any errors, omissions, injury, loss, or damage arising from or relating to the use (or misuse) of any information, statements, or conclusions contained in or implied by the contents of this document or any of the source materials.