• G Tovey and M Stokes.
• Birmingham Children's Hospital, Department of Anaesthesia, Birmingham, UK. gail0502@hotmail.com
• Eur J Anaesthesiol. 2007 Jan 1;24(1):71-5.

Background And ObjectiveNational 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.MethodsA questionnaire was distributed to UK members of the Association of Paediatric Anaesthetists of Great Britain and Ireland.ResultsThere 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.ConclusionsNational 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.

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