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A survey of the use of 2D ultrasound guidance for insertion of central venous catheters by UK consultant paediatric anaesthetists

Published online by Cambridge University Press:  08 August 2006

G. Tovey  and
M. Stokes
G. Tovey
Affiliation:
Birmingham Children's Hospital, Department of Anaesthesia, Birmingham, UK
M. Stokes
Affiliation:
Birmingham Children's Hospital, Department of Anaesthesia, Birmingham, UK
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Extract

Summary

Background and objective: National Institute for Clinical Excellence guidance states that 2D imaging ultrasound guidance should be used when inserting internal jugular venous lines in adults and children in the elective situation and should be considered in most clinical circumstances requiring central venous catheter insertion. This survey explored the availability, training and use of ultrasound devices by consultant paediatric anaesthetists in the UK. Methods: A questionnaire was distributed to UK members of the Association of Paediatric Anaesthetists of Great Britain and Ireland. Results: There was a response rate of 63% and of those responding, 212 (81%) inserted paediatric central venous catheters. Ultrasound devices were available in the workplace of 216 (82%) and the average number of devices available per department was two. For elective paediatric theatre cases, 26% of paediatric anaesthetists with access to an ultrasound device always used it when inserting an internal jugular central venous line. The majority (74%) of respondents had received training in the use of 2D ultrasound. Conclusions: National Institute for Clinical Excellence guidance on the use of ultrasound locating devices for placing central venous catheters is not universally adhered to. Among the reasons for this are problems with availability of equipment, lack of training in the use of ultrasound and non-acceptance of the guidelines.

Keywords

CATHETERIZATION, CENTRAL VENOUSULTRASONOGRAPHYPAEDIATRICS
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 24 , Issue 1 , January 2007 , pp. 71 - 75
Copyright
© 2006 European Society of Anaesthesiology

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References

National Institute for Clinical Excellence. Guidance on the use of ultrasound locating devices for placing central venous catheters. Technology Appraisal Guidance No. 49. September 2002.
Alderson PJ, Burrows FA, Stemp LI et al. Use of ultrasound to evaluate internal jugular vein anatomy and to facilitate central venous cannulation in paediatric patients. Br J Anaesth 1993; 70: 145–148.Google Scholar
Verghese ST, McGill WA, Patel RI et al. Ultrasound guided internal jugular venous cannulation in infants: a prospective comparison with the traditional palpation method. Anesthesiology 1999; 91: 71–77.Google Scholar
Verghese ST, McGill WA, Patel RI et al. Comparison of three techniques for internal jugular venous cannulation in infants. Paediatr Anaesth 2000; 10: 505–511.Google Scholar
Grebenik CR, Boyce A, Sinclair ME et al. NICE guidelines for central venous catheterization in children. Is the evidence base sufficient? Br J Anaesth 2004; 92: 827–830.Google Scholar
Asheim P, Mostad U, Aadahl P. Ultrasound-guided central venous cannulation in infants and children. Acta Anaesth Scand 2002; 46: 390–392.Google Scholar
National Institute for Clinical Excellence. Review of NICE Technology Appraisal Guidance No. 49, ultrasound locating devices for placing central venous catheters. Proposal to move guidance to the static list. September 2005.