- Jacqueline Filshie,
- Philippa Wood,
- Ruth Griffin,
- Claire Nightingale,
- Ruth G P R Browne,
- D G Skewes
- Consultant Senior registrar Senior registrar Registrar Consultant Consultant Department of Anaesthetics, Royal Marsden Hospitals NHS Trust, Sutton, Surrey SM2 5PT
EDITOR,--We strongly support Andy Adam's view that imaging guidance and experience are necessary for the placement of Hickman-type catheters.1 The first surgical insertions of Hickman catheters at the Royal Marsden Hospitals were described in 1979,2 but over the past decade the anaesthetists have developed a comprehensive percutaneous venous access service, and they currently insert over 1000 lines a year. Dedicated theatre lists of up to 10 patients are eminently suitable for consultants to teach the technique to trainee anaesthetists. …
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