Intended for healthcare professionals

Practice Guidelines

Management of an acute painful sickle cell episode in hospital: summary of NICE guidance

BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e4063 (Published 27 June 2012) Cite this as: BMJ 2012;344:e4063

Re: Management of an acute painful sickle cell episode in hospital: summary of NICE guidance

In response to Mr Patel, we are grateful that he has highlighted evidence to support the use of incentive spirometry in the prevention of pulmonary complications in sickle cell disease. However, the scope of this guideline was limited to the management of the painful crisis. The management of acute complications was not in the scoping document for this guideline.

In reply to Mr Shin, infectious causes of sickle cell crisis were also considered out of the scope of the guideline following the referral from the Department of Health. The referral of the guideline was specifically about the management of sickle cell crisis whilst in hospital.

I hope this clarifies things.

Yours sincerely,

Professor Damien Longson.

Links: Remit - http://guidance.nice.org.uk/CG/Wave24/6/Remit/pdf/English

Scope - http://guidance.nice.org.uk/CG/Wave24/6/Scope/pdf/English

Competing interests: No competing interests

03 September 2012
Damien Longson
Consultant liaison Psychiatrist and Chair of the Guideline Development Group for Sickle cell: acute painful episode
Manchester Mental Health and Social Care Trust
NICE, MidCity Place, 71 High Holborn, London, WC1V 6NA.