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Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Comisión de Mejora de la Práctica Clínica y Servicio de Neumología Hospital Universitario Vall d'Heb

Oxygen is one of the most widely used therapeutic agents in the healthcare field. Therapeutic use of oxygen has evolved to more controlled use as toxicity has been documented with uncontrolled use. The optimal range can be controlled from the measurement of oxygen saturation. In patients admitted in acute situations, the administration of oxygen is not recommended without establishing the saturation ranges that correspond to the patient according to their clinical characteristics.

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Sociedad Catalana de Medicina Familiar y Comunitaria

Whenever feasible, for pain control, non-parenteral treatment should be chosen as the first choice. The unnecessary use of parenteral analgesic treatment for pain control is associated with a higher risk of avoidable complications for the patient, especially when there is an analgesic alternative with good effectiveness and better safety (orally, topically).

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Societat Catalana de Cardiologia

Nonvalvular atrial fibrillation increases the risk of having a stroke or other thromboembolic events. In Catalonia, its prevalence is 4.4% in those over 40 years of age and increases with age. Prevention of thromboembolic complications has to be based on long-term oral anticoagulant therapy, as it has been shown to reduce your risk. Antiplatelet therapy with acetylsalicylic acid (monotherapy or double antiplatelet therapy) is less effective than oral anticoagulant therapy and has shown no ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Sociedad Catalana de Medicina Familiar y Comunitaria

Acute uncomplicated cystitis is the most common form of urinary infection in nonpregnant premenopausal women, and the diagnosis is basically clinical. In acute uncomplicated cystitis, follow-up is not required if symptoms resolve with the antibiotic, and therefore, control urine cultures are not indicated. There is no evidence that the control urine culture has an impact on the prognosis and treatment of uncomplicated cystitis. The control urine culture will only be indicated in uncomplicated ...

Evidencias COVID-19

Cochrane - Colección Especial - cuidados críticos (tratamiento con líquidos y vasopresores)

Intravenous fluid therapy is the most likely intervention provided for critically ill patients. Although 0.9% saline is a widely used crystalloid solution, it causes hyperchloremic acidosis with significant consequences for patients identified in several observational studies. According to a Cochrane review on the safety and efficacy of buffered fluids in adult patients undergoing elective surgery, those who received buffered solutions did not develop hyperchloremic acidosis. In another ...