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.
Professor Damien Longson.
Links: Remit - http://guidance.nice.org.uk/CG/Wave24/6/Remit/pdf/English
Competing interests: No competing interests