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Sherlock 3CG in Pediatrics

I supervise the IV team at a childrens hospital, and we went live with sherlock 3CG in January.  We are having trouble getting consistent tip locations-they are all over the place.. I have seen this system work well in adults, is anyone else using this in peds?  Anyone have problems?

Thanks for the input.



I place PICCs in both adults as well as peds. I have tried to use the 3CG on PEDS, but find that in smaller children, especially infants, the 3CG isn't helpful. When I get a perfect max P-wave and the "green diamond" on small children/infants, the PICC tends to be in the atrium after the x-ray is shot. Most of the time I end up retracting and reshooting the x-ray. I rely more on measurements for placement in children but utilze the sherlock to make sure the PICC has dropped into the SVC. As you mentioned, it works great for our adult population as long as there heart rhythm is regular (ex. no Afib). 

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