Evaluation of a Magnetic Tracking and Electrocardiogram-based Tip Confirmation System for Peripherally Inserted Central Catheters in Pediatric Patients

Nina Rosche; Wolfgang Stehr

doi:10.1097/NAN.0000000000000293

Evaluation of a Magnetic Tracking and Electrocardiogram-based Tip Confirmation System for Peripherally Inserted Central Catheters in Pediatric Patients

J Infus Nurs. 2018 Sep/Oct;41(5):301-308. doi: 10.1097/NAN.0000000000000293.

Authors

Nina Rosche¹, Wolfgang Stehr

Affiliation

¹ University 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.

PMID: 30188452
DOI: 10.1097/NAN.0000000000000293

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.

Publication types

Evaluation Study

MeSH terms

Adolescent
Catheterization, Peripheral / instrumentation*
Catheterization, Peripheral / methods
Central Venous Catheters*
Child
Child, Preschool
Electrocardiography*
Electromagnetic Phenomena*
Female
Humans
Infant
Infant, Newborn
Male