Atkinson P, Boyle A, Robinson S, Campbell-Hewson G
Emergency Department, Box 87, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK.
Emerg Med J. 2005 Mar;22(3):158-64. doi: 10.1136/emj.2003.011288.
In September 2002, the National Institute of Clinical Excellence (NICE) issued guidelines for England and Wales suggesting that ultrasound guidance should be used for all electives, and should be considered for most emergency, central venous catheterisations.1 These guidelines propose a major change of practice for most clinicians practising in UK Emergency Departments. There are also resource and training implications. In this paper we systematically review the literature to establish what evidence exists for the routine use of ultrasound guidance in the placement of central venous catheters in adult patients attending the Emergency Department, and provide an overview of the practical elements of this procedure.
2002年9月，英国国家临床优化研究所（NICE）发布了针对英格兰和威尔士的指南，建议所有择期中心静脉置管均应使用超声引导，大多数急诊中心静脉置管也应考虑使用超声引导。1这些指南对大多数在英国急诊科工作的临床医生的操作实践提出了重大改变。这也涉及资源和培训问题。在本文中，我们系统地回顾了文献，以确定在急诊科成年患者中心静脉置管常规使用超声引导的现有证据，并概述该操作的实际要点。
