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Sherlock 3CG Spokane Trial Results

Of the 70 catheters where Maximum P-wave was obtained, ECG guidance and tip confirmation of PICC placements resulted in 100% (70/70) correctly placed PICCs at the CAJ (from March 28, 2011 to May 1, 2011) when compared with the CXR. These catheter tips were determined to be at the CAJ, i.e., within +/- 1cm of the vertical center of the “sweet spot”.

Following the initial trial, data has been continually collected to gain more experience and stronger statistics. As of July 15, 2011 there were a total of 220 ECG positioned PICCs at PSHMC and 75 at PHFH with the same results as above. At this time, it was decided to formally request a change in policy to stop getting routine post procedure CXRs for PICC placed using ECG guidance.

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