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British Journal of Anaesthesia, 2003, Vol. 90, No. 3 269-272
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Editorial II

It’s NICE to see in the dark

David H. T. Scott1

1 Department of Cardiothoracic Surgery, The Royal Infirmary of Edinburgh, Edinburgh EH3 9YW1, UK, Email: david.scott@ed.ac.uk

The first 150 words of the full text of this article appear below.

The National Institute for Clinical Excellence (NICE) has published its recommendations for the use of ultrasound locating devices for placing central venous cannulae.1 The benefits of ultrasound guidance have been emphasized in this journal before.2 NICE concluded:

‘Two-dimensional (2-D) imaging ultrasound guidance is recommended as the preferred method for insertion of central venous catheters (CVCs) into the internal jugular vein (IJV) in adults and children in elective situations.’

‘The use of two-dimensional (2-D) imaging ultrasound guidance should be considered in most clinical circumstances where CVC insertion is necessary either electively or in an emergency situation.’

‘It is recommended that all those involved in placing CVCs using two-dimensional (2-D) imaging ultrasound guidance should undertake appropriate training to achieve competence.’

‘Audio-guided Doppler ultrasound guidance is not recommended for CVC insertion.’

The provisional report hoped for full implementation of its recommendations by the end of the financial year 2004–5, but the implementation date . . . [Full Text of this Article]


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