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Choosing Wisely Canada

Canadian Critical Care Society Canadian Association of Critical Care Nurses Canadian Society of Resp

Maintaining critically ill patients in an immobile or minimally mobile state during care may potentiate muscle loss and deconditioning. Excessive and/or prolonged use of sedatives is associated with worse outcomes, including increased delirium, excessive use of diagnostic imaging for coma, increased number of tracheostomies, greater duration of mechanical ventilation and ICU length-of-stay.

Choosing Wisely Canada

Canadian Critical Care Society.Canadian Association of Critical Care Nurses.Canadian Society of Resp

Patients and their families often value the avoidance of invasive or overly aggressive life-sustaining measures when they are at the end of life. However, many dying patients receive aggressive life-sustaining therapies, in part due to clinicians’ failures to elicit patients’ preferences and to provide recommendations.

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

Sociedad Catalana de Medicina Familiar y Comunitaria

Acute rhino sinusitis (ARS) is defined as the symptomatic inflammation of the sinus and nasal cavity mucosa that has a maximum duration of twelve weeks, according to the consensus of more recent clinical guidelines. Considering that, in almost all cases, sinus involvement is accompanied by inflammation of the contiguous nasal mucosa, the last guidelines have chosen to adopt the term rhinosinusitis, instead of sinusitis, to talk about this pathology. Although their etiology may be diverse, most ...

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

Asociación de Enfermería Familiar y Comunitaria de Cataluña

The first-line treatment in asthma exacerbations is the administration of systemic corticosteroids, in conjunction with inhaled beta-agonists. In the management of respiratory exacerbations, studies show that there are no significant differences in the benefit of treatment according to the route of administration, oral intake or intramuscular (IM) route and, therefore, oral intake is recommended as the route of choice in the treatment of asthma exacerbation because of its high ...

Choosing Wisely®

American College of Radiology

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