| TA49 |
Central venous catheters - ultrasound locating devices (TA49) |
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The clinical effectiveness and cost effectiveness of ultrasonic locating devices for the placement of central venous lines
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.
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Other information
- TA49 Central venous catheters - ultrasound locating devices: guidance (web format)
- TA49 Central venous catheters - ultrasound locating devices: summary
How this guidance was produced
Background information
- Review decision - September 2010
- Appendix A: decision paper presented to the Institute's Guidance Executive
- Review Proposal - July 2010
- Appendix A: provisional matrix of stakeholders
- Appendix B: proposal paper presented to the Institute's Guidance Executive
- Review decision: January 2009
- Review decision: November 2005
- Review proposal: Central venous catheters - ultrasound locating devices (No. 49): October 2005
- 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
- NICE issues guidance in two specialist areas to improve choice and care for NHS patients in England and Wales
This page was last updated: 28 November 2011
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Guidance formats
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Implementation tools and resources
See this guidance in practice
Patient
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
NICE Guidance
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
Full Guidance
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.

