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Ultrasound-Guided IJV CVC NICE — FRCA Final MCQ

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EasyAnaesthetic Equipment & SafetyUltrasound-Guided IJV CVC NICEFRCA Final

A 60-year-old man on the ICU requires central venous access. An ultrasound-guided right internal jugular vein CVC insertion is planned. According to NICE CG139, ultrasound guidance for IJV CVC insertion is:

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Correct answer: C — Contraindicated due to infection risk

NICE CG139 (2012, updated 2017) recommends 2D ultrasound guidance for elective internal jugular vein CVC insertion as standard of care. Ultrasound guidance: reduces access failure rates, reduces arterial puncture (5-fold reduction), reduces haematoma, reduces the number of attempts, and may reduce the time to successful insertion. Both real-time US-guided and US-assisted (pre-procedure marking) techniques are superior to the landmark technique. For subclavian and femoral CVC insertion, the evidence for ultrasound is less robust but increasingly recommended.

Reference: NICE – 2017 – CG139 Healthcare-associated infections; ICS – 2023 – Vascular access standards