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Letters Painful sickle cell episodes

NICE guidance ignored incentive spirometry

BMJ 2012; 345 doi: (Published 21 August 2012) Cite this as: BMJ 2012;345:e5370
  1. Amit Patel, specialist registrar in haematology and intensive care medicine1
  1. 1Imperial College London; Imperial College Healthcare NHS Trust, MRC Clinical Sciences Centre, Hammersmith Hospital, London W12 0NN, UK
  1. amit.patel{at}

It is disappointing that the National Institute for Health and Clinical Excellence guidance on managing an acute painful sickle cell episode in hospital did not advocate incentive spirometry as an …

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