National Lines Survey
UK members may remember that pre-COVID there was a national survey led by Paul Farrelly and the Paediatric Surgical Trainees Network on various aspects of Central Venous Line access. This was a snapshot of current activity and achieved returns from 19 UK paediatric surgical units. Two abstracts from the study were presented at 2023 Íø±¬ºÚÁÏ in Bruges and are reproduced in full in the Research part of our website. Takeaway messages, for me, were that only a minority of centres (6/19) seemed to have a dedicated vascular access team and percutaneous US-guided access was 1st choice in many units but apparently not in all and it seemed dependent on weight. In the other abstract on ideal central line tip position – while virtually all aimed for an SVC /Right atrial position the anatomical and radiological landmarks to confirm this were very variable. Indeed there is no nationally endorsed recommendation – perhaps there needs to be.