Central venous catheters - ultrasound locating devices

Summary

2-D imaging ultrasound guidance should be the preferred method when inserting of central venous catheter into the internal jugular vein in adults and children in ‘elective situations’. (‘Elective situation’ means that the operation, or other treatment, has been planned – that is, it is not an emergency.)

2-D imaging ultrasound guidance should be considered in most clinical situations where CVC insertion is necessary, whether the situation is elective or an emergency.

Everyone who uses 2-D imaging ultrasound guidance to insert central venous catheters should have appropriate training to ensure they are competent to use the technique. 

Audio-guided Doppler ultrasound guidance is not recommended for use when inserting central venous catheters.

Documents

For healthcare professionals

• TA49 Central venous catheters - ultrasound locating devices: Summary
• TA49 Central venous catheters - ultrasound locating devices: Guidance

For patients, carers and the public

• TA49 Central venous catheters - ultrasound locating devices: Information for the public

Background information

• Review decision
• Review proposal: Central venous catheters - ultrasound locating devices (No. 49)
• A survey measuring the impact of NICE technology appraisal 49: Central venous catheters - ultrasound locating devices
• Assessment Report: The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access
• 2002/050 NICE issues guidance in two specialist areas to improve choice and care for NHS patients in England and Wales

Implementing this guidance

Any further information NICE has produced to help the NHS implement this guideline locally is linked to below:

• None found