title: Indications for peripheral, midline and central catheters: summary of the MAGIC recommendations.
abstract: Patients admitted to acute care frequently require intravenous access to effectively deliver medications and prescribed treatment. For patients with difficult intravenous access, those requiring multiple attempts, those who are obese, or have diabetes or other chronic conditions, determining the vascular access device (VAD) with the lowest risk that best meets the needs of the treatment plan can be confusing. Selection of a VAD should be based on specific indications for that device. In the clinical setting, requests for central venous access devices are frequently precipitated simply by failure to establish peripheral access. Selection of the most appropriate VAD is necessary to avoid the potentially serious complications of infection and/or thrombosis. An international panel of experts convened to establish a guide for indications and appropriate usage for VADs. This publication summarises the work and recommendations of the panel for the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC).
authors.affiliation: Registered Nurse, Adjunct Associate Professor, Griffith University, Brisbane, Australia; Chief Executive Officer, PICC Excellence, Inc and Vascular Access Specialist, Greenville Memorial Hospital, Greenville, South Carolina.
authors.forename: Nancy
authors.initials: N
authors.lastname: Moureau
authors.affiliation: Doctor of Medicine, Assistant Professor of Medicine and Research Scientist, School of Medicine, University of Michigan, and Ann Arbor VA Medical Center, Ann Arbor, Michigan.
authors.forename: Vineet
authors.initials: V
authors.lastname: Chopra
mesh_terms: D016470:Bacteremia / Q000453:epidemiology; D055499:Catheter-Related Infections / Q000453:epidemiology; D002405:Catheterization, Central Venous / Q000379:methods*; D002406:Catheterization, Peripheral / Q000379:methods*; D062905:Central Venous Catheters; D006801:Humans; D008824:Michigan; D011183:Postoperative Complications / Q000453:epidemiology; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D025321:Surgery, Computer-Assisted; D018084:Ultrasonography, Interventional; D056824:Upper Extremity Deep Vein Thrombosis / Q000453:epidemiology; D062666:Vascular Access Devices
keywords: Central line associated bloodstream infections; Central venous catheters; Midline catheters; Peripheral catheters; Peripherally inserted central catheters; Thrombosis