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Published on: December 23, 2014
Evaluation of a Magnetic Tracking and Electrocardiogram-based Tip Confirmation System for Peripherally Inserted
1University of California, San Francisco (UCSF) Benioff Children's Hospital, Oakland, California (Ms Rosche and Dr Stehr). Nina Rosche, MSN, RN, PNP, VA-BC, is interested in new technologies in advancing vascular access care delivery for pediatric patients. She has been a pediatric nurse practitioner for 4 years and is currently a vascular access nurse practitioner specializing in the insertion, maintenance, and quality improvement of vascular access devices. Wolfgang Stehr, MD, MBA, FACS, is focused on patient safety, operational improvement, and resource utilization. For the past 6 years Dr Stehr has engaged in the Toyota lean operational improvement process and is physician-champion of the vascular access team.
Abstract:
The purpose of this study was to investigate whether a magnetic tracking and electrocardiogram-based tip confirmation system (TCS) (Sherlock 3CG Tip Confirmation System; Bard, Covington, GA) permits safe and correct placement of a peripherally inserted central catheter (PICC) in the pediatric population. A total of 144 PICCs were placed using the TCS. After excluding participants for various reasons, 112/121 (92.56%) of PICCs were appropriately placed using the TCS. The TCS confirmed tip location an average of 7 to 18 minutes faster than radiographic imaging. There were no complications associated with the insertion of the PICCs using the TCS.
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