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The is uncertainty about the potential benefits and harms of putting critically ill adults on to their sides or turning them regularly from side-to-side.
Evidencias COVID-19
Coronavirus (COVID-19): Evidence Collection. Evidence Aid
Some patients with COVID-19 will become critically ill and may be immobilized in bed or need mechanical ventilation (MV). Their body position may affect their heart and lungs, recovery and their chances of survival. In this Cochrane systematic review, the authors searched for randomized and quasi-randomized trials evaluating the effects of turning patients onto their sides when they have to stay in bed. They did not impose any languages restrictions and did their searches in May 2015. They ...
ver más ... 2016There is currently insufficient evidence to recommend the routine adoption in the NHS of the SepsiTest assay for rapidly identifying bloodstream bacteria and fungi.
NICE
Diagnostics guidance
The test shows promise and further research to provide robust evidence is encouraged, particularly to demonstrate the value of using the test results in clinical decision-making.
ver más ... 2016It is recommended a good control and early diagnosis of pacientes who have a respiratory or laryngeal infection to carry out a good treatment, as well as to reduce the waiting in the consultations to ...
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
National Institute for Health and Clinical Excellence (NICE)
In case of entering the patient, isolation conditions are recommended.
ver más ... 2016Pancreatic necrosectomy using transluminal endoscopy is recommended with certain conditions.
NICE
National Institute for Health and Clinical Excellence (NICE)
1.1 Current evidence on the safety of endoscopic transluminal pancreatic necrosectomy shows that there are serious but well‑recognised complications. Evidence on efficacy is adequate to support the use of this procedure provided that standard arrangements are in place for clinical governance, consent and audit. 1.2 Patient selection should be done by a multidisciplinary team experienced in the management of the condition. 1.3 Endoscopic transluminal pancreatic necrosectomy should only be ...
ver más ... 2016Clinicians should avoid ordering thrombophilia testing for hospitalized patients with unprovoked VTE.
Choosing Wisely ® : Things we do for no reason
Petrilli C. J. Hosp. Med. 2016 November;11(11):801-804
For further information please visit the website of the initiative (link below)
ver más ... 2016