Guidance on the use of ultrasound locating devices for placing central venous catheters

NICE technology appraisals [TA49] Published date:

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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