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British Journal of Anaesthesia 2004 93(2):175-177; doi:10.1093/bja/aeh183
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Editorial II: The king of the blind extends his frontiers

D. H. T. Scott

Department of Anaesthetics, The Royal Infirmary of Edinburgh, Edinburgh EH16 4SU1, UK E-mail: david.scott@ed.ac.uk

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

The advantages of ultrasound guidance (USG) for central venous catheterization (CVC) have previously been extolled in the pages of this journal.1–3 They include a greater likelihood of success, fewer complications and less time spent on the procedure. It is even possible that money may be saved in the process. There was considerable debate in the medical literature, on the Internet and at meetings around the country when the National Institute for Clinical Excellence (NICE) produced its recommendations:4

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.

An editorial in the British Medical Journal5 recommended ultrasound for difficult cases only. One opponent . . . [Full Text of this Article]


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M. Mcgregor, A. Rashid, N. Sable, and J. Kurian
Impact of NICE guidance on the provision of ultrasound machines for central venous catheterization.
Br. J. Anaesth., July 1, 2006; 97(1): 117 - 118.
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