NICE guidance on CardioQ™

A comparison of clinical practice guidelines for proximal femoral fracture

“…This raises further questions regarding the legal implications of guidelines. In correspondence following a much discussed editorial on NICE guidance of Car-dioQ TM monitoring [35], Ghosh and colleagues suggest that clinicians might fear claims of negligence if they do not follow guidance produced by high-profile organisations such as NICE. They also consider that the incorporation of guidelines into the Comission for Quality and Innovation (CQUIN) framework is likely to result in further financially motivated pressures to comply [35,36].…”

“…In correspondence following a much discussed editorial on NICE guidance of Car-dioQ TM monitoring [35], Ghosh and colleagues suggest that clinicians might fear claims of negligence if they do not follow guidance produced by high-profile organisations such as NICE. They also consider that the incorporation of guidelines into the Comission for Quality and Innovation (CQUIN) framework is likely to result in further financially motivated pressures to comply [35,36]. In reply to recent similar criticisms [37], NICE responded by clearly stating that guidelines are "not in any way mandatory" and are designed to help "healthcare professionals and patients make informed choices" [38].…”

Goal-Directed Fluid Therapy Guided by Cardiac Monitoring During High-Risk Abdominal Surgery in Adult Patients: Cost-Effectiveness Analysis of Esophageal Doppler and Arterial Pulse Pressure Waveform Analysis

“…In the United Kingdom, the National Institute of Health and Care Excellence published in 2011 good practice guidelines for ED and has argued that in an enhanced recovery program, the cost saving per patient when ED was used instead of a central venous catheter in the perioperative period was about £1100 based on a 7.5-day hospital stay [8]. These recommendations, however, have been discussed because they were based on a small number of RCTs with quite small and heterogeneous populations: Interventions studied were as diverse as cardiac, orthopedic, and abdominal surgery, in operative rooms or in HDUs [9]. More recently, other RCTs have been published focusing on abdominal surgery [10][11][12][13][14][15], but their results remain to be synthetized.…”